I'll be upfront in stating I have 0 expectations of anybody getting this correct.
Patient presents with right ulnar pain and leaves with a diagnosis of neuropathy and acute leukemia. What transpired to get to this point?
.webp?h=8 "P-Hat (pink) - It's pink.")
Think like a doctor # just got into my main account
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emg > generalized neuropathy > blood test > done
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We're missing a lot of steps
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You should probably do a CBC+D, document tremors and family hx of tremors and a few other physical evaluations I won't say as it gives the answer.
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omg dude I'm on my phone. physical exam. Document tremors during this. neurological evaluation. Tinel's sign. Look for muscle wasting or weakness. CBC+D. Unexplained leukocytosis or blasts. More blood tests, imaging studies or bone marrow biopsy to check for leukemia.
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I did half my job on a phone so that shouldn't be an issue outside of not being able to post notes. Actually pretty accurate but will say physical neuropathy is part of neurological evaluation. Flow showed a percentage of blasts in peripheral blood that did lead to a bone marrow Bx.
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