Nervous System & Special Senses

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"To the uninitiated, clinical neurology is perhaps one of the most difficult branches of medicine, given the amazing diversity of presentations; however, a solid knowledge of neuroanatomy combined with an analytical approach are often capable of unraveling even the trickiest of these puzzles.\n\nThe patient in this case scenario is an excellent example in point. A glance at his history reveals the presence of sensory disturbances involving the right chest and abdomen; note also the presence of weakness of the right lower limb, suggesting at a motor lesion.\n\nHe also complains of a rather interesting and unusual symptom - a bulge in his right abdomen which appears after meals. This could be a hernia; alternatively, it could be due to weak abdominal musculature.\n\nExamination reveals impairment of light touch from D4 to D10, and crude touch from D4 to the right knee; a lower motor neurone type weakness is also seen in the proximal right lower limb, while abdominal reflexes are absent.\n\nInter"}]}

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