Medical History: A 38-year-old man who presented to the ED with right leg weakness and right-hand numbness is admitted to the ICU. He states that his symptoms started shortly after the completion of a workout. The patient is a recent college graduate with no past medical history, an occasional cigarette smoker, and a social drinker. Physical Examination: Upon examination, the patient has a weakness in the right lower extremity and equal bilateral handgrip. The patient's vital signs illustrate tachycardia and blood pressure 140/90 mm Hg.
He is alert, awake, with no visible signs of facial drooping or slurred speech. An ECG on arrival to the ICU shows normal sinus rhythm compared to an irregular rhythm without discernable P waves with multiple PVCs on arrival to the ED. The brain CT scan was negative *This patient case is from Docplexus Editorial Team for educative purpose only. Source:…
