Case presentation A 44-year-old man presents to an emergency department (ED) with a chief symptom of weakness. He reported having recovered from a sore throat which he had contracted a week ago. However, since then, he has developed fatigue and global weakness. A day before his ED visit, the patient fell and stuck his head. He denies any neurologic changes, including headache, vision changes, sensory changes, focal motor weakness, and dizziness.
He had a medical history of hypertension and dyslipidemia and adhered to his usual home regimen of lisinopril and simvastatin. He reported having normal fluid and nutrient intake. He smokes ten cigarettes daily but denies alcohol intake and illicit drug use. Physical examination Vital signs: Blood pressure:134/77 mmHg; Heart rate: 67 bpm; Body Temperature: 97.6°F (36.4°C) Alert, well-nourished, and comfortable Minor abrasion on the right…
