Solve this exciting clinical case specific to your field of interest via Docplexus' Clinical Case Challenge. Join your fellow doctors to discuss and answer today's challenge. Case presentation A 36-year-old female presented to the emergency department (ED) with complaints of tingling sensations in upper and lower extremities and numbness in lower extremities. The patient also reported a history of recent trauma (fall from stairs).

Medical history The patient had a history of alcohol abuse, anemia, depression, pyelonephritis, and sepsis. She admitted using nitric oxide (NO) for recreational use but denied any recent use in the last one month. Physical examination The patient’s neurological examination was significant for decreased temperature and light touch sensation, beginning from the lower rib cage to the toes. Reflexes were absent in both upper and lower extremities, and mild…