A 26 year old male presents to your Emergency Department with bilateral lower extremity weakness. He states he recently had a “stomach bug” following a camping trip. You suspect Guillain-Barre Syndrome. Which of the following is most consistent with GBS?
A) CSF with elevated protein
C) Facial droop
D) Sterile pyuria
E) Vesicular rash
Which anti-epileptic is most likely to cause hyponatremia?
C. Valproic Acid
Answer is A - Carbamazepine or Tegretol
Bonus Question: What is the first line management in Trigeminal Neuralgia?
Answer: Carbamazepine or Tegretol
While the scuba diving decompression illnesses of decompression sickness and arterial gas embolism are treated the same, the pathophysiology and presentation are different.
This post was inspired by a recent clinical case in our department. A 7 week full term infant s/p spontaneous vaginal delivery with a normal maternal prenatal screen and course presents to your ED for not eating x 12 hours. On exam, you note decreased spontaneous movements, a weak suck and a weak cry noted. Vitals are normal. What's the diagnosis?