Sökning: onr:"swepub:oai:DiVA.org:oru-73609" > Clinical Reasoning :
Fältnamn | Indikatorer | Metadata |
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000 | 02912naa a2200361 4500 | |
001 | oai:DiVA.org:oru-73609 | |
003 | SwePub | |
008 | 190410s2019 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:140574294 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-736092 URI |
024 | 7 | a https://doi.org/10.1212/WNL.00000000000068852 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1405742942 URI |
040 | a (SwePub)orud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a vet2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a af Edholm, Karolinau Karolinska Institutet, Stockholm, Sweden4 aut |
245 | 1 0 | a Clinical Reasoning :b Leg weakness and stiffness at the emergency room |
264 | 1 | b Lippincott Williams & Wilkins,c 2019 |
338 | a print2 rdacarrier | |
520 | a A 48-year-old woman from the Maghreb came to the emergency department with insidious gait difficulties, urgency, and constipation starting 6 months prior to the visit. The patient's complaints consisted of weakness, stiffness, and pain in her legs. Her medical history consisted of Hashimoto thyroiditis and breast cancer, with the latter having motivated surgery 4 months prior to admission. Histopathologic examination had demonstrated ductal cancer sensitive to estrogen and mapping with sentinel node biopsy ruled out metastasis. For that reason, the patient was treated with local radiation given weekly over 1 month and treatment with tamoxifen was started. Physical examination upon admission demonstrated weakness and spasticity in both legs. Reflexes were brisk; bilateral nonsustained foot clonus and Babinski sign were also present. Bilateral dorsal flexion was reduced, but vibration and sensation to touch and pinprick were normal. Sphincter tonus was reduced; systemic manifestations such as myalgias, fever, skin rashes, uveitis, sicca, and arthritic joints were absent. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng |
700 | 1 | a Lidman, Christeru Karolinska University Hospital, Solna, Sweden4 aut |
700 | 1 | a Andersson, Sören,d 1957-u Örebro universitet,Institutionen för medicinska vetenskaper4 aut0 (Swepub:oru)sean |
700 | 1 | a Solders, Göranu Karolinska Institutet4 aut |
700 | 1 | a Paucar, Martinu Karolinska Institutet4 aut |
710 | 2 | a Karolinska Institutet, Stockholm, Swedenb Karolinska University Hospital, Solna, Sweden4 org |
773 | 0 | t Neurologyd : Lippincott Williams & Wilkinsg 92:6, s. E622-E625q 92:6<E622-E625x 0028-3878x 1526-632X |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-73609 |
856 | 4 8 | u https://doi.org/10.1212/WNL.0000000000006885 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:140574294 |
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