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Doctor insights on: Bilateral Upper Extremity Weakness

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Bilateral upper extremity weakness nerve damage in toes. Started 5 months ago progressing. ESR 31mml Ana 1:640 homogenous cardiolipin IgG 33gpl?

Bilateral upper extremity weakness nerve damage in toes. Started 5 months ago progressing. ESR 31mml Ana 1:640 homogenous cardiolipin IgG 33gpl?

Autoimmune disorder: The info leads me to believe you may have some autoimmune process. You must already be evaluated with these labs. Oral steroids (I.e. Prednisone) may be prescribed if a provisional diagnosis made while you wait referral to a rheumatologist. ...Read more

Extremity (Definition)

Is appendage or body part that extends from the main body, such as arms or ...Read more


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What are some possible causes of bilateral upper extremity fatigue / weakness in a 45 yr old healthy female? This weakness has been present 1 week.

What are some possible causes of bilateral upper extremity fatigue / weakness in a 45 yr old healthy female? This weakness has been present 1 week.

Polymyalgia: Polymylagia rheumatica is a relatively common disorder that can cause bilateral upper extremity weakness (difficulty combing your hair) and shoulder aching. Sounds like you should see a doctor. ...Read more

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21 yr old fiancee had TB meningitis in july 2013 wid bilateral infarcts, she has recovered alot bt still has weakness in right side nd spasm in lower limbs nd very sleepy most times. Will she get well

21 yr old fiancee had TB meningitis in july 2013 wid bilateral infarcts, she has recovered alot bt still has weakness in right side nd spasm in lower limbs nd very sleepy most times. Will she get well

Sad situation: The information is difficult to provide. TB meningitis with cerebral infarcts will cause permanent loss of function in the areas destroyed by the disease. Nerve tissue does not regenerate like many other tissues. At 21, the recovery potential would be much greater than a 40 yo, but still unpredictable. Now that you are a year out from the illness, further progress, if any, may be minimal. ...Read more

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Normal jamar dynamometer grip strength what are the normal jamar dynamometer grip strength results for 35 year old for both dominant/nondominant upper extremity

I: I would add to the discussion that there is a voluntary element to grip strength. If you are in pain, you may not feel secure about giving a good effort. ...Read more

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Disc herniation cause weakness in lower extremities?

Disc herniation cause weakness in lower extremities?

If it does: Suggest you see your doctor right away before weakness turns to paralysis. ...Read more

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Why is it necessary to observe someone's gait in a neurological examination of the upper extremity?

Completeness: The examination of the neuromuscular system takes into account interrelated systems. For example evaluating weakness upper and lower extremities are necessary. Many disorders affecting upper extremities also affect lowers, even if patient is not aware of the lower extremity involvement ...Read more

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Please advise what is it meant if I have been told that my upper extremity reflexes are normal and my lower reflexes are brisk?

Spinal cord: If the lower extremity reflexes are increased, but arms are 'normal', it suggests there could be a problem in the spine. Reflexes in the arms come from the cervical spine at C 5-6-7. If these are normal, the problem lies somewhere below this, in the spine. An old injury, inflammation, stroke or tumor could cause. There are some times when exam is 'abnormal', but there is no obvious pathology ...Read more

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Can you tell me for our neurology practical exam we were told we had to analyse gait even in the upper extremity examination and I can't remember why. Any help?

Can you tell me for our neurology practical exam we were told we had to analyse gait even in the upper extremity examination and I can't remember why. Any help?

Arm swing: Arm swing is also part of the gait assessment. A person with Parkinson's typically shuffles their feet and has no, or minimal, arm swing. A person with an old stroke may have increased tone in the arm and hold it at their side. Good luck on the exam! ...Read more

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Icd 9 code for upper extremity pain?

Several: Arm pain (generalized, right, or left) [729.5]
pain in joint/upper arm [719.42]
pain in joint/forearm [719.43]. ...Read more

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My bf get sores on his skin that start off as blisters and its on on his upper extremity what could this be?

My bf get sores on his skin that start off as blisters and its on on his upper extremity what could this be?

Once, more? 1 arm? 2?: Once? Could be shingles, flare of prior chicken pox infection. Can't get it if vaccinated, without history of infection. Not both arms. Could also be bacterial infection of skin (impetigo).
Multple? Could be manifestation of celiac sprue: dermatitis herpetiformis.
Other causes are possible too, e.G reaction to sun, genetic metabolic problems-less common. See md, preferably during outbreak. ...Read more

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I am having a slight tingling all over my body especially in the facial and upper extremity areas. I have Spina Bifida but never this b4. Feels electr?

I am having a slight tingling all over my body especially in the facial and upper extremity areas. I have Spina Bifida but never this b4. Feels electr?

Neuro eval: Chiari malformations are common findings in Spina bifida. Occasionally this can present with abnormal sensations in the arms and legs, even later in life. Headaches are probably the more common symptom though. These things typically get worse with coughing or sneezing. If ongoing, a complete evaluation by a neurologist would be beneficial. ...Read more

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I have extreme weakness in limbs, very dizzy, can hardly stay awake, breathless?

I have extreme weakness in limbs, very dizzy, can hardly stay awake, breathless?

Dizziness: Can be many reasons for your symptoms, you should probably be evaluated. Can be the start of an infection that is making you feel like this. Or you might have orthostatic hypotension, where when you change positions, you can be weak and dizzy. Or a plethora of other possibilities, get checked out if not feeling better. ...Read more

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My limbs turn blue and cold. Slurred speech, say wrong words, weakness, severe pain, confusion, crawling sensations and tingling in head. And more...

My limbs turn blue and cold. Slurred speech, say wrong words, weakness, severe pain, confusion, crawling sensations and tingling in head. And more...

Be seen ASAP: Even an ER visit may be wise if you never had these symptoms before and know of no good explanation - even if you do know you used a risky drug, etc. These sound potentially serious. Get help, don't drive yourself! Call 911 if no one can take you in. ...Read more

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My pt is 87 yr female diabetic CHF anaeric and hypoproteinic with normal vitals presently has off late developed weakness of both lower limbs and back?

My pt is 87 yr female diabetic CHF anaeric and hypoproteinic with normal vitals presently has off late developed weakness of both lower limbs and back?

Weakness or pain?: Makes a difference1 pt cold be from claudication, indicating vascular insuff. Of the arteries of the legs. -weakness in turn could be poor diabetic control. See your pcp about this complaint as soon as you can! ...Read more

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How long does the upper extremity joint MRI without dye take?

How long does the upper extremity joint MRI without dye take?

20 - 45 min: Depending on your ability to lie still, the size of the MRI magnet and the computing software used, it will likely take from 20 to 45 minutes for the scan. You should allow 90 minutes total for registration, preparation, positioning and instructions. ...Read more

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Can cervical spondylosis cause muscle weakness in extremities?

Can cervical spondylosis cause muscle weakness in extremities?

Yes: In some cases, cervical spondylosis results in a narrowing of the space needed for the spinal cord or nerve roots. If this occurs, your symptoms may include numbness and weakness in the arms, hands, and fingers. Trouble walking, loss of balance, or weakness in the hands or legs. Muscle spasms in the neck and shoulders. ...Read more

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Is the upper extremity joint MRI without dye a risky thing to do?

Is the upper extremity joint MRI without dye a risky thing to do?

Not at all: There is almost no risk for an MRI without dye. The biggest risk would be if you brought something magnetic into the area of the machine - it could be damaged or moved, causing harm. ...Read more

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What kind of complications might happen from an upper extremity joint MRI with dye?

What kind of complications might happen from an upper extremity joint MRI with dye?

Many: There are many complications for this, mostly related to the injection of contrast. Fortunately, the number of complications is small, and pre-screening for risk factors is helpful. You can get infection at the injection site, deep vein thrombosis, embolism, septicemia and more. You can have an allergic reaction to the contrast, from mild to very severe and death, or have kidney damage. ...Read more

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What could cause feeling of weakness in limbs. Haven't lost any strength but feels like they're getting weak. Vitamin deficiency?

Multiple causes: Dehydration, low blood pressure, and low blood sugar can cause a feeling of weakness. Also working out a lot, can increase need for protein. Look at life style and optimize, avoid tobacco smoke, alcohol, eat healthy unprocessed food with fresh vegetables and fruit and high quality protein, good oils, get a good night sleep, move through the day, try interval training. Reduce stress. Try mvmn. ...Read more

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Where do I go to get an upper extremity CT scan with dye done?

Where do I go to get an upper extremity CT scan with dye done?

Hospital: Radiology dept or a imaging center I can't think of a reason why you woild need one check up on some lesion seen on xray this kind of test best guided by a physician not to be used as ascreening test can follow growth of a known lesion preop detail for surgical planning check with orthopod. ...Read more

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Dr saysgbs began 1/17 newsympt: legs givingout, dropping larger things than before, inc muscle weakness-limbs, typical? Other conditions? Brainmri-clean

Dr saysgbs began 1/17 newsympt: legs givingout, dropping larger things than before, inc muscle weakness-limbs, typical? Other conditions? Brainmri-clean

Ascending disease: Your gbs may have been brought on by a viral illness, a flu shot or a side effect of other medicationthe disease usually begins in the lower limbs and is ascending in nature. Best of luck. ...Read more

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Will the needle or i.V. Hurt during the upper extremity CT scan with dye?

It shouldn't: Once the IV is in, injecting fluid into your veins shouldn't hurt, as there are no pain receptions inside your vessels. In some cases the IV can "blow out" or infiltrate and the fluid will go around the vessel and not into the vein. This can hurt and cause other complications. Elderly patients with fragile veins are the most at risk for IV infiltration. ...Read more