Numb Limbs

[JenO]

What would you think could be the dx of a typically healthy patient who reports he went on a weekend rafting trip , suffered no known injury, comes home on Sunday to experience immediate spontaneous numbness/paralysis of forearm, hands, lower leg, and feet? Five days later, no change in symptoms. ??? Any ideas?

 

[FoughtFyr]

What would you think could be the dx of a typically healthy patient who reports he went on a weekend rafting trip , suffered no known injury, comes home on Sunday to experience immediate spontaneous numbness/paralysis of forearm, hands, lower leg, and feet? Five days later, no change in symptoms. ??? Any ideas?

I have an idea, how about going to the doctor instead of the web for assessment?

- H

 

[dry dre]

What would you think could be the dx of a typically healthy patient who reports he went on a weekend rafting trip , suffered no known injury, comes home on Sunday to experience immediate spontaneous numbness/paralysis of forearm, hands, lower leg, and feet? Five days later, no change in symptoms. ??? Any ideas?

Rocky mountain spotted fever (similar to my presentation, plus the fever etc).

 

[USCDiver]

West nile virus

 

[docB]

Atypical Guillan Barre (I think I spelled it wrong but don't have time to look it up)?

 

[DrQuinn]

Tertiary Syphilis

 

[Homunculus]

encephalitis of some sort. maybe a demyelinating disease. or maybe he's faking it.

--your friendly neighborhood secondary gain caveman

 

[margaritaboy]

Tertiary Syphilis

Holy S**t! You can get that from rafting?? I'd better be more careful next time....

 

[Sessamoid]

What would you think could be the dx of a typically healthy patient who reports he went on a weekend rafting trip , suffered no known injury, comes home on Sunday to experience immediate spontaneous numbness/paralysis of forearm, hands, lower leg, and feet? Five days later, no change in symptoms. ??? Any ideas?

I'd think that if you were presenting this case formally, that the history and physical are woefully incomplete. If you are looking for medical advice, then my advice is the patient should go see a doctor in person.

 

[spyderdoc]

....I guess it's better than numb nuts! 😀

 

[Sessamoid]

For those looking for some interesting reading about a possibly related topic, do a search on "tick paralysis".