A 38-year-old female with a past medical history of mutliple sclerosis is admitted with a chief complaint of generalized weakness and inability to walk. At baseline, she is able to transfer independently from a bed to a chair and to walk with assistance. Her PMH is positive for urinary incontinence and frequent urinary tract infections (UTIs) that lead to MS flares. The current complaints are typical of her MS flares. She also complains of (c/o) nausea and has vomited in the emergency room. She reports no abdominal pain or dysuria.
PMH Multiple Sclerosis (MS), treated with methylprednisolone IV (IVMP) every 2 months, each course consists of Methylprednisolone 1 gm over 30 min for 3 days. UTIs, urinary incontinence, presenile dementia, hypercholesterolemia. Medications Tolterodine, Multivatimin (MVT). Physical examination VS 38.2-95-128/80-18 SpO2 98% on RA. HEENT: dry MM, no nuchal…
