15 replies on “IAP Action Plan 2021 – PG Clinic (29th June 2021)”
Kindly tell a bit more about the findings in ncv in GBS mam.??
The way it presented it is more likely to AMAN
Steorids alone not to be given in GBS so as it is more harmful then beneficial
Should we do NCV or MRI spine with contrast in 1st week of illness
And whether we should do cpkmb and lumbar puncture in every case of AFP mam.??
Single breath test
Autonomic so BP needs to be mentioned and single breath count
Influenza and dpt
Regurgitation ,change of voice
Resp muscl involvement needs to be checked in such rapid progression so change in voice and loss of voice
Respiratory muscle involvement?
Such rapid progression GBS less likely can be hypokalemic periodic paralysis
Immediately following fall child would be symptomatic i.e seziure or vomiting or bleeding from any site if there is association between that and it would have been associated with pain
Fall can act as a trigger sir for this weakness
Not able to get up can be due to weakness or due to tone abnormalities or due to abnormal movement or due to pain
So all these histories needs to be asked
Ascending symmetrical type of weakness so GBS more likely
Can be acute transverse myelitis if any sensory level is found on examination
DIAP India
15 replies on “IAP Action Plan 2021 – PG Clinic (29th June 2021)”
Kindly tell a bit more about the findings in ncv in GBS mam.??
The way it presented it is more likely to AMAN
Steorids alone not to be given in GBS so as it is more harmful then beneficial
Should we do NCV or MRI spine with contrast in 1st week of illness
And whether we should do cpkmb and lumbar puncture in every case of AFP mam.??
Single breath test
Autonomic so BP needs to be mentioned and single breath count
Influenza and dpt
Regurgitation ,change of voice
Resp muscl involvement needs to be checked in such rapid progression so change in voice and loss of voice
Respiratory muscle involvement?
Such rapid progression GBS less likely can be hypokalemic periodic paralysis
Immediately following fall child would be symptomatic i.e seziure or vomiting or bleeding from any site if there is association between that and it would have been associated with pain
Fall can act as a trigger sir for this weakness
Not able to get up can be due to weakness or due to tone abnormalities or due to abnormal movement or due to pain
So all these histories needs to be asked
Ascending symmetrical type of weakness so GBS more likely
Can be acute transverse myelitis if any sensory level is found on examination