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⏱️ 150s
🌱 Beginner Level — 0 / 60
Acute Transverse Myelitis — Tiered Workup
A 41-year-old woman with subacute paraparesis, sensory level, and sphincter dysfunction. Outline evaluation to identify inflammatory myelopathy and direct treatment.
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sfx_miss_firm
00:00 / 00:00
sfx_correct_minimal
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sfx_complete_fanfare
00:00 / 00:00
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Start high-dose IV methylprednisolone
Escalate to PLEX for severe/refractory deficits
MRI entire spine with gadolinium
Serologies: AQP4-IgG, MOG-IgG, B12, ANA/SSA, syphilis, HIV
CSF cell count, protein, OCBs, IgG index, infectious studies
MRI brain to assess dissemination
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