| Weakness,
Acute Generalized: |
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| Myasthenia
gravis (asymetric, weakness made worse with exercise), Guillain
Barre syndrome (ascending paralysis, symmetric, may need respiratory
support, decreased DTRs), tick paralysis (symmetric, ascending paralysis,
decreased DTRs, Rx - remove tick), Lyme disease (B. burgdoferi via
tick bite, constellation of symptoms [derm, vasculitis, arthritis,
neuro], asymmetric, sensory deficits, extremity and facial weakness
with cranial nerve involvement), botulism (symmetric, descending
paralysis, normal DTRs, may need respiratory support), Eaton Lambert
Syndrome, psychiatric, depression, malnutrition, electrolyte abnormality
(Na, K, Ca, P, MG), anemia, polio (viral prodrome, asymmetric, may
need ventilator), diphtheria (can mimic GBS), meds (chemo., beta
blockers, lithium, phenothiazines), ischemic stroke, TIA, neuropathies
(porphyria, AIDP, femoral, diabetic, peripheral), neoplasm, myopathy
(rhabdomyolysis, thyroid, polymyositis, carcinoma, metabolic), chronic
fatigue syndrome, periodic paralysis. |
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