Clinical Reasoning: A 37-year-old man with multiple cranial neuropathies
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作者:
O'Loghlen, Sean
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机构:
Queens Univ, Div Gen Internal Med, Kingston, ON K7L 3N6, CanadaQueens Univ, Div Gen Internal Med, Kingston, ON K7L 3N6, Canada
O'Loghlen, Sean
[1
]
Guy, Brent
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机构:
Queens Univ, Div Gen Internal Med, Kingston, ON K7L 3N6, CanadaQueens Univ, Div Gen Internal Med, Kingston, ON K7L 3N6, Canada
Guy, Brent
[1
]
Rossiter, John P.
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Queens Univ, Dept Pathol & Mol Med, Kingston, ON K7L 3N6, Canada
Kingston Gen Hosp, Dept Pathol & Mol Med, Kingston, ON, CanadaQueens Univ, Div Gen Internal Med, Kingston, ON K7L 3N6, Canada
Rossiter, John P.
[5
,6
]
Boyd, John Gordon
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机构:
Queens Univ, Div Neurol, Kingston, ON K7L 3N6, Canada
Queens Univ, Dept Med, Kingston, ON K7L 3N6, Canada
Queens Univ, Dept Crit Care Med, Kingston, ON K7L 3N6, CanadaQueens Univ, Div Gen Internal Med, Kingston, ON K7L 3N6, Canada
Boyd, John Gordon
[2
,3
,4
]
机构:
[1] Queens Univ, Div Gen Internal Med, Kingston, ON K7L 3N6, Canada
[2] Queens Univ, Div Neurol, Kingston, ON K7L 3N6, Canada
[3] Queens Univ, Dept Med, Kingston, ON K7L 3N6, Canada
[4] Queens Univ, Dept Crit Care Med, Kingston, ON K7L 3N6, Canada
A 37-year-old man presented with a 7-month history of vertigo, nausea, dysphagia, right-sided tinnitus, and hearing loss. He denied headache, paresthesias, change in vision, or problems with cognition. He endorsed a history of progressive fatigue, generalized weakness, and poor libido. His symptoms left him functionally impaired and bedridden.
机构:
Vet Affairs Med Ctr, Med Serv, Internal Med Sect, La Jolla, CA USA
Univ Calif San Diego, Sch Med, Dept Med, Div Gen Internal Med, 200 W Arbor Dr, San Diego, CA 92103 USAVet Affairs Med Ctr, Med Serv, Internal Med Sect, La Jolla, CA USA
Galant-Swafford, Jessica
Light, Matthew
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Vet Affairs Med Ctr, Pulm Crit Care & Sleep Med Sect, La Jolla, CA USA
Univ Calif San Diego, Sch Med, Div Pulm Crit Care & Sleep Med, San Diego, CA 92103 USAVet Affairs Med Ctr, Med Serv, Internal Med Sect, La Jolla, CA USA
Light, Matthew
Onaitis, Mark W.
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Vet Affairs Med Ctr, Surg Serv, Cardiothorac Surg Sect, La Jolla, CA USA
Univ Calif San Diego, Sch Med, Dept Surg, Div Cardiovasc & Thorac Surg, San Diego, CA 92103 USAVet Affairs Med Ctr, Med Serv, Internal Med Sect, La Jolla, CA USA
Onaitis, Mark W.
Rawlings, Stephen A.
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Vet Affairs Med Ctr, Infect Dis Sect, La Jolla, CA USA
Univ Calif San Diego, Sch Med, Div Infect Dis, San Diego, CA 92103 USAVet Affairs Med Ctr, Med Serv, Internal Med Sect, La Jolla, CA USA
Rawlings, Stephen A.
Fierer, Joshua
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Vet Affairs Med Ctr, Infect Dis Sect, La Jolla, CA USA
Univ Calif San Diego, Sch Med, Div Infect Dis, San Diego, CA 92103 USAVet Affairs Med Ctr, Med Serv, Internal Med Sect, La Jolla, CA USA
Fierer, Joshua
Landsberg, Judd W.
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Vet Affairs Med Ctr, Pulm Crit Care & Sleep Med Sect, La Jolla, CA USA
Univ Calif San Diego, Sch Med, Div Pulm Crit Care & Sleep Med, San Diego, CA 92103 USAVet Affairs Med Ctr, Med Serv, Internal Med Sect, La Jolla, CA USA
机构:
Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Pathol, Univ Hosp, Newark, NJ 07103 USAUniv Med & Dent New Jersey, New Jersey Med Sch, Dept Pathol, Univ Hosp, Newark, NJ 07103 USA
Aisner, Seena C.
Blacksin, Marcia
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Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Radiol, Newark, NJ 07103 USA
Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Orthoped Surg, Newark, NJ 07103 USAUniv Med & Dent New Jersey, New Jersey Med Sch, Dept Pathol, Univ Hosp, Newark, NJ 07103 USA
Blacksin, Marcia
Patterson, Francis
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Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Orthoped Surg, Newark, NJ 07103 USAUniv Med & Dent New Jersey, New Jersey Med Sch, Dept Pathol, Univ Hosp, Newark, NJ 07103 USA
Patterson, Francis
Hameed, Meera R.
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机构:
Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Pathol, Univ Hosp, Newark, NJ 07103 USAUniv Med & Dent New Jersey, New Jersey Med Sch, Dept Pathol, Univ Hosp, Newark, NJ 07103 USA