cpc 71808

Internal MedicineClinical Pathological Conference : 

Internal MedicineClinical Pathological Conference July 18, 2008

CPC FORMAT : 

CPC FORMAT Presentation of case Medical student discussants (5 minutes each) Radiology speaker (5-10 minutes) Faculty discussant (10 minutes) Pathology speaker (5 minutes) Case wrap-up

Chief Complaint: : 

Chief Complaint: 55 year-old male presents to Bellevue Hospital complaining of worsening diffuse body weakness, dysphagia, and cough for 3 months.

History of Present Illness: : 

History of Present Illness: The patient is a 55 year-old Senegalese male cab driver without any medical problems who first complained of body weakness after a long day of driving, 3 months prior to his presentation. Over the next 3-months, he noticed that his symptoms were progressively worsening and that he was unable to tolerate driving for long periods of time. He complained specifically of: Bilateral shoulders and thigh weakness Symmetric, diffuse arthralgia that was worse in the morning Arthralgia and joint swelling of his wrists and hands Difficulty getting up from a seated position

History of Present Illness: : 

History of Present Illness: Approximately 3-weeks prior to admission, his symptoms had become so severe that he quit his job as a cab-driver. During this time, the patient also complained of dysphagia to both solids and liquids. The patient denied any odynophagia. The patient also complained of cough that was worse at night. The cough was productive of white-yellow sputum without blood. He denied fever, chills, or weight loss.

History of Present Illness : 

History of Present Illness Past Medical History: Latent TB treated in the past Chronic constipation for 40 years Past Surgical History: none Medication: none Allergy: no known drug allergy Family History: Father and sister in Senegal described body weakness that was treated by medication with improvement. No definite diagnoses were given. Social History: Moved from Senegal 20 years ago. Works as a cab driver. No tobacco, no alcohol, and no drug use. No recent travel. HIV status unknown

Physical Exam: : 

Physical Exam: Gen: lying on a stretcher, appeared comfortable. Vital signs: T 98.9, P 104, BP 122/67, RR16 SaO2 98% on RA Neck: no lymphadenopathy Lungs: decreased breath sounds at the left base with bilateral crackles Heart: Regular, rate, and rhythm, no murmurs, no rubs Abdomen: Soft, non-tender, non-distended, normal bowel sounds Neurologic: unable to abduct his upper extremities past 90 degrees, unable to lift his knees off the chair. Distal strength was normal, normal reflexes Extremities: normal joints, no effusion, no swelling Skin: no rashes

Laboratory Assessment: : 

Laboratory Assessment:

Laboratory Assessment: : 

Laboratory Assessment:

Laboratory Assessment: : 

Laboratory Assessment:

Slide 11: 

Laboratory Assessment:

EKG : 

EKG Sinus Tachycardia

RADIOGRAPHIC FINDINGS : 

RADIOGRAPHIC FINDINGS

Chest X-Ray : 

Chest X-Ray

Chest X-Ray: Lateral Decubitus : 

Chest X-Ray: Lateral Decubitus

Slide 16: 

CT CHEST

Slide 17: 

CT CHEST

Slide 18: 

CT CHEST

Hospital Course : 

Hospital Course The patient was triaged to a regular floor bed for further diagnostic testing. A diagnostic procedure was performed.