Approach to differentiating lesions (motor neuron) Quiz: Ace Your Exams
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A 19-year-old individual comes to the emergency department for evaluation of weakness. Yesterday morning, they awoke feeling weak in both legs, which intensified throughout the day. This morning, the patient fell while attempting to get into the shower. When calling their employer to report their delayed arrival, the patient was told their voice sounded slurred. There is no past medical history, and no medications are taken. The patient had vomiting and diarrhea for three days with accompanying fever beginning 10 days ago. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 10/min, blood pressure is 120/75 mmHg, and oxygen saturation is 91% on room air. On exam, the patient is drooling and dysarthric, with bilateral flaccid lower extremities and intact sensation. Patellar reflexes are diminished. No signs of trauma are present. Which of the following is the most appropriate next step in management?
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