By switaschek, 23 October, 2020 Limb exam 2 3 muscle strength against gravity resistance proximal may be worse than distal weakness muscle tone loose flaccid reflexes abnl gait Sensory exam often NL
By switaschek, 23 October, 2020 Vitals resp sufficiency may rapidly progress to resp failure temp changes BP instability can be life threatening 3
By switaschek, 23 October, 2020 Preceding hx 90 have febrile illness w in 1 2wk prior to limb weakness eg resp GI illness w fever rhinorrhea cough vomiting diarrhea Non polio enteroviruses etc have been implicated 3 No evidence suggests preceding vaccinations causative1
By switaschek, 23 October, 2020 Hx sudden rapid onset acute flaccid limb weakness developing over hours days in 1 limb May have HA stiff painful neck pain in affected arm leg or back 1 3 May have difficulty w gait speech swallowing 2 sleepiness inactivity inability to pass urine Uncommo
By switaschek, 23 October, 2020 Suspect AFM if sudden onset flaccid limb s esp Aug Nov cases in even numbered years1 2 in pts w preceding viral sx 3 90 are young children Neuro exam may show cranial nerve autonomic involvement If AFM suspected immediately admit to hospital seek neuro ID
