Worsening Weakness: An Interesting Case of GBS

An 11 year-old female presents with approximately 2 weeks of bilateral lower extremity pain that is localized to her knees and calves. The pain is worse with ambulation and not relieved with ibuprofen. She has difficulty ascending the stairs at school and recently started having trouble walking on flat ground. The patient also endorses neck, back, and shoulder pain that are less severe. She recalls an illness associated with vomiting and diarrhea that started approximately 1 week ago, which has still not resolved…

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Diverticulitis? Guess Again.

A 50-year-old female presents to the emergency department complaining of two days of gradually worsening left lower quadrant abdominal pain. She endorses anorexia and multiple episodes of vomiting. She is slightly tachycardic, but afebrile. She is noted to have tenderness to palpation to the left lower quadrant but no significant rebound or guarding. Given her presentation, diverticulitis becomes the leading differential diagnosis, although renal colic is also a possibility. For that reason a non-contrast CT scan of the abdomen/pelvis is ordered for further evaluation…

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