MedBugs: SAQ #167

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Case: Guillain-Barré syndrome

A previously well 26-year-old woman has presented after developing ptosis this morning which was preceded by a 24-hour history of tingling and numbness in her feet. She is a nonsmoker and is not on any regular medications. Vitals are as follows : GCS 15 HR 90 BP 110/70 RR 18 Sats 99% on RA 36.9

1. Other than Guillain-Barré syndrome, list four differential diagnoses. 4 marks

2. List two physical examination findings that would support a diagnosis of Guillain-Barré syndrome. 2 marks

3. List two additional examination findings relevant to prognosis or management. 2 marks

4. List two common causes of Guillain-Barré syndrome. 2 marks

5. List two investigations that may help confirm the diagnosis. 2 marks

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Case: Guillain-Barré syndrome

1. Other than Guillain-Barré syndrome, list four differential diagnoses. 4 marks

2. List two physical examination findings that would support a diagnosis of Guillain-Barré syndrome. 2 marks

3. List two additional examination findings relevant to prognosis or management. 2 marks

4. List two common causes of Guillain-Barré syndrome. 2 marks

5. List two investigations that may help confirm the diagnosis. 2 marks

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