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Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

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Nội dung chi tiết: Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

NeurologyCase 1250Case 2252Cases254Case 4256Case 5258Case 6260Case 7262Case 8264Case 9266Case 10267Case 11268Case 12269Case 13270Case 14272Case 15275C

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2Case 16276Case 17278Case 18281Case 19282Case 20284Case 21286Case 22288Case 25290249► CASE 1A 50-year-old left-hand-dominant man presents to his primal

)' care physician withcomphints of right hand weakness. I le sax's 6 nronths ago he began dropping things with his right hand. In the subsequent month Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

s, his grip strength has weakened further and his handwriting has deteriorated. I le has also noticed frequent twitching in the muscles of his right h

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

and, forearm, and shoulder, and he has developed painful muscle cramps in his neck and back. I ie also reports occasional problems swallowing his food

NeurologyCase 1250Case 2252Cases254Case 4256Case 5258Case 6260Case 7262Case 8264Case 9266Case 10267Case 11268Case 12269Case 13270Case 14272Case 15275C

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2sory deficits. Vital signs are within normal limits. The patient’s cranial nene examination is significant for atrophy of the tongue, which also demon

strates fast icul.it ions upon protrusion. On motor exam, the patient has significant thenar atrophy of the right hand, but not on the left. Right han Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

d strength is 3/5, and left hand strength is 4/5. Triceps and biceps arc 4+/5 bilaterally and deltoids are 5/5 bilaterally. Neuromuscular examination

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

of the lower extremities is nonnal. Reflexes arc 3+ in the upper extremities bilaterally and he also has a brisk jaw jerk reflex. Sensory examination

NeurologyCase 1250Case 2252Cases254Case 4256Case 5258Case 6260Case 7262Case 8264Case 9266Case 10267Case 11268Case 12269Case 13270Case 14272Case 15275C

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2ALS is a ncurodcgcncrativc disorder that causes progressive muscle weakness and disability. A1.S follows a relentless course and eventually leads to d

eath, with dysphagia and respiratory musele weakness causing recurrent aspiration pneumonias and culminating in overt respiratory failure. This diseas Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

e typically affects patients between 40 and 60 years old. Men are affected more often than women. Most cases of Al.s are idiopathic, but 5-10% of case

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

s arc familial anil follow an autosomal dominant inheritance pattern.W hat causes this condition?rhe etiology of the neurodegeneration in ALS is curre

NeurologyCase 1250Case 2252Cases254Case 4256Case 5258Case 6260Case 7262Case 8264Case 9266Case 10267Case 11268Case 12269Case 13270Case 14272Case 15275C

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2spinal tracts, and motor regions of the frontal cortex. Because A1A damages both the corticospinal tracts and the motor neurons, patients exhibit a co

mbination of upper motor neuron (UMN) and lower motor neuron (LAIN) signs:■LIMN signs:■Weakness; affects groups of muscles.■Hyperreflexia and hyperton Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

ia.■Spasticity; predominant in the antigravity musculature (Ĩ.C., flexors in the upper extremities and extensors in the lower extremities).■Extensor p

Ebook First aid cases for the USMLE Step2ck (2/E): Part 2

lantar responses (Babinski's sign).■LMN signs:

NeurologyCase 1250Case 2252Cases254Case 4256Case 5258Case 6260Case 7262Case 8264Case 9266Case 10267Case 11268Case 12269Case 13270Case 14272Case 15275C

NeurologyCase 1250Case 2252Cases254Case 4256Case 5258Case 6260Case 7262Case 8264Case 9266Case 10267Case 11268Case 12269Case 13270Case 14272Case 15275C

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