English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

CASE PRESENTATION A 55-year-old male presented to a Level I trauma center via ambulance with a complaint of bilateral lower extremity weakness after falling. He stated he had slipped and fallen on his buttocks while showering. He discovered he was unable to stand, so he crawled to his bedroom and dialed 911. By the time the paramedics arrived to his home, he had no sensation or motor function below his knees bilaterally. A cervical collar was placed by the paramedics and the patient was transported to the hospital. Upon arrival, he continued to complain of pain to his buttocks. He denied any chest pain, shortness of breath, headache, syncope, abdominal pain, nausea, vomiting, or upper extremity weakness. He denied any past medical history or surgeries. He was not taking any medications and did not have any allergies. His family history was noncontributory. He denied smoking, alcohol, or any drug use. Initial evaluation showed a well-developed, well-nourished male in no acute distress with a cervical collar in place. Triage vital signs were a temperature of 36.9° Celsius, heart rate of 77 beats per minute, respiratory rate of 23 breaths per minute, blood pressure of 139/95 millimeters mercury and pulse oximetry of 100% on room air. His body mass index was 23.79 kg/m2. His head was normocephalic and atraumatic. His pupils were equally reactive to light bilaterally with normal conjunctiva and sclera. His extraocular movements were intact. On cardiovascular exam, he had a regular rate and rhythm with normal heart sounds; specifically, no murmurs were auscultated. His upper extremity pulses were 2+ bilaterally, femoral pulses were 1+ bilaterally, and no dorsalis pedis or posterior tibial pulses were appreciated by palpation or with Doppler ultrasound. The patient was in no respiratory distress and his lungs were without wheezes, rhonchi or rales. His abdomen was soft and nontender with normal bowel sounds and no rebound or guarding. He had normal rectal tone but was not able to contract his anal sphincter on command. Musculoskeletal exam had no cervical, thoracic or lumbar midline tenderness and no step-offs were palpated. University of Maryland Medical Center, Baltimore, Maryland University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland * †

55-year-old Male with Bilateral Lower Extremity Weakness