December 2014 critical care case of the month: weak for weeks

Southwest Journal of Pulmonary and Critical Care

Natt B¹  Koleilat S¹  Campion J¹ 

[1] University of Arizona, Tucson, AZ USA;

关键词: myasthenia gravis;    myasthenic crisis;    cholinergic crisis;    treatment;    differential diagnosis;    work up;    pyridostigmine;    intravenous immunoglobulin;    plasma exchange;    corticosteroids;   

DOI  :  10.13175/swjpcc141-14

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. History of Present Illness: A 65 year old woman presents with weakness involving both upper and lower extremities that is intermittent over the last 3 months, but in the last 2 weeks she has also noticed increasing neck weakness, droopy eyelids and increased drooling. Prior to this she was able to walk without difficulty and ride a recumbent bike for 20 minutes, but now is having difficulty walking on her own. She denies fevers, weight loss, shortness of breath, chest pain, palpitations, LE edema, joint pain, rash, any recent or current GI/GU symptoms and no new medications. Past Medical History, Social History, and Family History: The patient has a past history of hypertension, hyperlipidemia, diabetes mellitus Type II, GERD, obstructive sleep apnea (compliant with BiPAP), atrial fibrillation and hypothyroidism. She has a 40 pack-year history of tobacco use. Family history is noncontributory. Medications: Dabigatran 75mg BID, Esomeprazole 20 mg BID ...

【 授权许可】

Unknown