Nic Fok neurology consulted for limb weakness allergic to ciprofloxacin chronic smoker for 50 years, non-drinker PMH: LUTS, right renal stone with OT case of cystitis / prostate abscess complicated with septic shock, AKI, ARDS, Waterhouse-Friderichsen syndrome history clarified with patient and wife: acute onset left hand numbness (radial 4 fingers + palm) 23/9 pm, did not … Read more
History Mr. Hui was a 60-year-old gentleman. He was an ex-chronic smoker for 20 years and had a history of untreated hypertension. After reviewing his history, the presumed vertigo was re-characterized as an acute onset unsteady gait upon waking up 1 week prior to his admission. The gait symptom was persistent, associated with a … Read more
History Mrs. Chan was a 90-year old lady with a history of chronic progressive dementia without movement disorder since her initial presentation 15 years ago. She was admitted for a right hip fracture. Her relatives reported a 2-year history of insidious onset, intermittent shaky hands. She was not on any medications that could account for … Read more
History Mr. Yuen was a 70-year old gentleman. He was a social drinker. He had a past medical history of hypertension, diabetes, hyperlipidemia, gout, atrial fibrillation, and a resected olfactory neuroblastoma in remission. He presented with a 3-year history of insidious onset language and memory impairment. The cognitive symptoms had progressed to impact his activities … Read more
History Mr. Ho was a 50-year old gentleman. He was a heavy drinker. He had a history of alcohol intoxication that resulted in an emergency department admission. He presented with a 1-year history of insidious onset glove and stocking type numbness. The sensory symptoms were followed by a 6-month history of subacute onset gait instability, … Read more
History Ms. Mui was a 50-year-old lady. She was a chronic smoker and non-drinker. She presented with a 1-year history of episodic facial pain. The episodes were described as brief, electric shock-like sensations involving the cheeks and mandibular regions. They could recur in quick succession, but a refractory period must be present in between attacks. … Read more
History Ms. Hui was a 45-year-old lady. She was a non-smoker and social drinker. She had a past medical history of impaired fasting glucose, moderate obstructive sleep apnea. She did not have a family history of headache / cognitive impairment. She presented with a 5-year history of episodic visual obscurations, described as a white, bright … Read more
History Mr. Tsang was a 70-year-old gentleman. He is an ex-smoker and regular drinker. He has a past medical history of hypertension, hyperlipidemia, gout, and bilateral glaucoma. He did not have a family history of gait disturbance or muscle atrophy. He presented with a longstanding history of recurrent falls since 2-3 years ago, the frequency … Read more
History Mr. Tsang was a 70-year-old gentleman. He is a chronic smoker and non-drinker. He was a retired dim sum chef. He was admitted for an episode of fall. He was noted to have an altered mental state upon admission. He was on regular over-the-counter carisoprodol, a muscle relaxant. His sister reported a history of … Read more
History Mrs. Lau was a 50-year-old lady. She was a non-smoker and non-drinker. She had a past medical history of diabetes, hyperlipidemia, and gastrointestinal stromal tumor with resection performed. She presented with a 3-month history of gradual, simultaneous onset, asymmetrical, progressive bilateral blurring of vision. Her vision worsened until she could only perceive light. There … Read more