Guillain-Barr%C3%A9 syndrome Quiz: Ace Your Exams
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A 37-year-old man presents to the emergency department for evaluation of difficulty breathing. Yesterday evening, the patient felt that his legs were heavy, and he felt tired, which he attributed to a busy day at the office. This morning, both of the patient’s legs began tingling, he felt increasingly weak, and he started tripping on the stairs. For the past few hours, the patient has felt as if he cannot catch his breath. He has no significant past medical history and takes no daily medications. Three weeks ago, he received his annual influenza vaccination. Temperature is 37.0°C (98.6°F), pulse is 84/min, respirations are 14/min, blood pressure is 135/85 mmHg, and oxygen saturation is 96% on room air. On physical exam, there is symmetric bilateral weakness with ankle dorsiflexion, knee flexion and extension, as well as a loss of vibration sense. Deep tendon reflexes are absent in the bilateral lower extremities. Which of the following is the most appropriate next step in management?
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