This educational guide provides a much-needed subspeciality-specific learning resource for pediatric hospital medicine. Featuring 50 of the most commonly presenting topics encountered by pediatric hospitalists, this book brings readers into the morning meeting and walks them through patient presentation, diagnosis, treatment, and resolution, providing realistic examples in an engaging case-based format. Available for purchase at https://shop.aap.org/pediatric-hospital-medicine-a-case-based-educational-guide-paperback/
Case 32: Maria, a 15-Year-Old Girl with Lower Extremity Weakness
"Maria, a 15-Year-Old Girl with Lower Extremity Weakness", Pediatric Hospital Medicine: A Case-Based Educational Guide, American Academy of Pediatrics, Melissa G. Cossey, MD, FAAP, Lauren K. Gambill, MD, MPA, FAAP
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A 15-year-old previously healthy girl, Maria, is brought to the emergency department (ED) by emergency medical services for rapidly progressing left lower extremity weakness. Maria has been experiencing left leg weakness for the last 2 weeks after injuring her left ankle while playing basketball, but when she suddenly was unable to stand on her left leg, her father became alarmed and called 911. Upon Maria’s arrival to the ED, the ED physician obtains an immediate computed tomography (CT) scan of her head, which shows no abnormality. Radiographs of the left lower extremity from the hip to foot are also obtained and are normal. The ED physician is concerned about an underlying neurologic cause for Maria’s symptoms and calls you to ask that you evaluate her for admission.