AssessmentsAmyotrophic lateral sclerosis
Amyotrophic lateral sclerosis
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 55-year-old man comes to the clinic because of muscle weakness for the past two months. His temperature is 37.8°C (100°F), pulse is 72/min, respirations are 18/min, and blood pressure is 110/82 mm Hg. Physical examination shows wasting of the muscles in his hands and a positive Babinski sign. Which of the following is the most appropriate next step in management?