可耕种 发表于 2025-3-23 13:04:23
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First Seizure,aller and rugby player) with no history of any previous illnesses. Seizure occurred in the morning hours on a Sunday. He admitted that the day before he had travelled to capital for an international football game (as a fan, not a player) and since noon had not eaten well and drank some beers (approxAGONY 发表于 2025-3-23 20:34:59
Elephant in the Room vs. Red Herring,ng issues. He also reported a numb right side of his face (“like having local anaesthesia at the dentist”) and that his symptoms were gradually progressing. He was referred by his Haematologist as he had a history of Chronic Lymphocytic leukaemia (CLL) with lymphadenopathy, splenomegalia and leukocyJAUNT 发表于 2025-3-24 01:39:26
Gait Disorder and Falls,ension and diabetes. So far AF has responded well to “rate control” treatment (previously on beta blocker, currently on calcium channels blocker). He complained about intermittent dizzy spells and was seen by Cardiology. However the history surrounding the fall (and how he had actually arrived to hoaccomplishment 发表于 2025-3-24 04:47:08
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http://reply.papertrans.cn/23/2279/227875/227875_16.pngHemodialysis 发表于 2025-3-24 11:02:17
Young Man with Pins and Needles, activity and became much worse after busy day; he worked hard as a joiner. He was referred as a suspected diagnosis of multiple sclerosis (MS). He did not have any other symptoms. On objective examination reflexes were present and not increased; apart from absent ankle jerks bilaterally. Plantars wGerontology 发表于 2025-3-24 18:54:14
Painful and Weak Young Man,were increased and plantars negative. Cranial nerves and cerebellar functions were normal. Sphincters were normal. Rest of neurological examination was influenced by serious pain in all four extremities (showed on diagram), therefore patient was very difficult to examine. He had a dry cough. CRP was多嘴 发表于 2025-3-24 19:57:32
Recurrent Otitis Media,bed as “muffled hearing”. Symptoms started 3 months ago with a pain around his left ear which then spread to the jaw. There was some facial numbness around his eye on the left side. There was also a pain behind the left ear. Effusion behind tympanic membrane was found so his headaches were originall领袖气质 发表于 2025-3-24 23:16:31
Clinical Cases in Neurology978-3-030-16628-1Series ISSN 2199-6652 Series E-ISSN 2199-6660