Patient came in with right distal hand and leg weakness afte | Figure 1

Patient came in with right distal hand and leg weakness after a fall. Guesses as to age and reason for weakness?


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45yoF with hard fall down 8 steps..landed on gluteus..immediately lower extremity weakness. Foley inserted in ER > 700cc urine, ie retention, rectal to me present but weak. able to move proximal lower extremities 3+/5, dorsiflexion/plantar flexion 0, ankle reflexes 0, L2-3 sensory level to pinprick noted. CT showed L3 burst fracture with retropulsion of bone fragment into canal. Taken to OR for decompressiin/fusion](https://app.figure1.com/case-detail/0fc4a037-fc46-4f67-add7-a10d93f5a291)



multi level of cervical degeneration & stenosis with vertebral collapse in various stages of healing and some cord/nerve root compression. Patient presented with severe neck pain and upper limb weakness after a fall from bed; 4 level laminectomy and fusion completed](https://app.figure1.com/case-detail/1ecf31af-db93-4fcd-b56d-bd90a43f9b3d)



51 year old male with Metastatic Colon Cancer s/p XRT to a T11 lesion. He presented with intermittent lower extremity numbness and weakness. Note the spinal cord impingement.](https://app.figure1.com/case-detail/2ee62cd0-3ab3-4520-aef4-42c24f41fdfe)



Older female patient came in with right sided weakness. MRI/MRA of brain negative for infarct or hemorrhage. Weakness progressing to include left side as well. Cervical spine MRI shows cord compression at several levels. Patient refusing to wear cervical spine immobilizer.](https://app.figure1.com/case-detail/3eb50594-97d5-41ba-b9d3-49884e65d56b)

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)