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A 44 year old builder presents with weakness over the past 48 hours
A neurological exam reveals the following (N=normal):
Upper Limbs
Lower Limbs
Right
Left
Right
Left
Tone
N
reduced
N
N
Power (MRC)
4/5
4/5
3/5
4/5
Coordination
N
N
N
N
Sensation
Fine [...]
Thanks for all of your great responses to our question of the day – some good analyses and discussion.
So here we go with the likely pathology …
Symmetrical findings make a central lesion less likely (they would localise).
The reflexes and sensation are intact, making a cord or peripheral nerve lesion unlikely.
The absence of fatigability [...]
A 64 year old man presents with a history of weakness and fatigue. He has lost 3 stone in weight. On systemic enquiry, he has no other clinical symptoms, other than a mild dry cough which he has had for 3 days and some occasional dysuria, present intermittently for 6 months. His examination findings are [...]
The following weeks will represent the culmination of years of hard work by medical students over the past 1-5 years. Revision patterns have been changing and increasingly medical students are approaching final examinations preparing for them using web based MCQ, OSCE and video guides. For the first time, resources like podcasts and the like have [...]
Is it possible to have an international site for medical revision? There is a diverse range of assessment methods in place in today’s medical marketplace, ranging from the familiar MCQ exam, to the OSCE format that may not be so familiar to some medical students in the US or in other parts of Western Europe [...]
EMQ’s
EMQ’s are being increasingly used in research and papers have recently been published on their success in the USMLE. Its likely that many medical schools will adopt this N from many approach. An EMQ is simple: its a series of typically 6-10 answers, used a number of times with different question stems.They first cropped up [...]