Consult Page 4mo boy p/w BLE weakness and large mediastinal mass Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? How weak is the patient? Does he have any other symptoms of sensation, bowel, or bladder dysfunction? ■…
Consult Page 7 year old girl with headaches, vomiting, and abnormal brain MRI Initial Imaging Walking Thoughts ■ How long has she been having symptoms? ■ What is her neurological exam? ■ Is she having any vision changes or cranial…
Consult Page Newborn male with lumbar spinal defect Initial Imaging Wallking Thoughts ■ What is the mother’s pregnancy history? ■ What is the patient’s birth history and comorbidities? ■ What is the patient’s current clinical status (vitals, oxygenation, apneic or…
Consult Page 3 day old premature twin with intraventricular hemorrhage Initial Imaging Walking Thoughts ■ What is the mother’s pregnancy history? ■ What is the patient’s birth history and comorbidities? ■ What is the patient’s current clinical status (vitals, oxygenation,…
Consult Page 45F hx HIV, IVDU, MRI w/ osteodiscitis p/w intractable back and leg pain Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? Does she have any red flag symptoms (e.g. cauda equina syndrome)? ■ Is the…
Consult Page 36M skateboarding accident, can’t feel or move below right knee Initial Imaging Walking Thoughts ■ What was the mechanism of the trauma? ■ Are there any fractures (e.g. fibular head/neck)? Are there other associated vascular (e.g. popliteal artery),…
Consult Page 60M h/o metastatic prostate cancer presenting with leg weakness, MRI with abnormal T2 signal and enhancement, thoracic compression fracture Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? ■ What is the onset and progression of…
Consult Page 61F with bilateral lower extremity pain and weakness, MRI showing possible fistula Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? ■ Is the patient weak, or is her weakness pain limited? ■ What is the…
Consult Page 45M patient with hx metastatic colorectal cancer with inability to walk Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam—what are his deficits? ■ Why is the patient unable to walk? Is it secondary to pain…
Consult Page 73M PMH diastolic heart failure, here with back pain, LE weakness, and recurrent falls Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? ■ What other symptoms is he having? Are there any red-flag symptoms or…