Guillain-Barre Test Question

CORRECT ANSWER:

A) Ascending Numbness & Tingling. A key finding is that Guillain-Barre progressively moves from the lower extremities to upper ones. This is very characteristic of this disease. Many other nerve disorders move down-descending. Guillain-Barre is when “your body’s immune system attacks your nerves” (mayoclinic). 

Other symptoms include progressive weakness, areflexia or hyporelfexia, speech disturbances, respiratory distress (epocrates). 

OTHER ANSWERS WHICH DX THEY ARE CHARACTERISTIC OF:

B) Koplik spots-measles

C) Rash on palms and soles-Syphilis

D) Erythema migrans-Lyme Disease

E) Absent temporal artery pulse-Temporal arteritis

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WORD OF THE DAY: OLIGURIC

OLIGURIC: 

Urine output less than 500 cc a day

SIMILAR TERMINOLOGY:

Anuric. This is generally defined as urine output of less than 100 cc a day. It is often used incorrectly in exchange for the word oliguric.

CAUSES: 

Acute renal failure

Chronic renal failure

BPH

Obstructive kidney stone

(These are just a few)