Approach to weakness (focal and generalized) Quiz: Ace Your Exams
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A 51-year-old woman presents to the primary care clinic for evaluation of neck weakness over the past two weeks. She has difficulty holding her head upright, which worsens as the day progresses. The patient also reports trouble brushing her hair in the evening. There are no sensory symptoms in the arms. Medical history includes hypertension managed with lisinopril. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 14/min, and blood pressure is 135/85 mmHg. On examination, there is weakness with neck flexion, extension, and shoulder abduction bilaterally. Which additional diagnostic test can confirm the diagnosis?
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