WBR0007

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Main Category	MainCategory::Neurology
Sub Category	SubCategory::Pharmacology
Prompt	[[Prompt::A 32-year-old man is brought to the emergency room and he states that for the past month he has been losing feeling and motor function of both his lower extremities. This problem has progressed until now when he cannot walk and must be carried onto the exam bed. He states that he has not had a history of trauma and the only illness was nausea, vomiting, and diarrhea 3 months earlier, although he recovered fully without medications. On exam, motor strength is 1/5 in both legs and deep tendon reflexes are impaired. What is the most appropriate next step in treatment?]]
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Right Answer	RightAnswer::Admission to the hospital and infusion of IVIG.
Explanation	[[Explanation::Guillan-Barre is a serious neurologic disease, in which the patient must be monitored as an inpatient because of its high likelihood for the need of intubation. Infusion of IVIG or plasmaphoresis is often attempted during therapy but progression commonly occurs. Although commonly self limited, progression may progress to respiratory compromise and the need for intubation. Educational Objective: References: ]]
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