cococat
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A 55-year-old man develops pain in both legs, altered sensation of touch in the soles of both feet, and increased tendencies to urinate, particularly at night. When he walks to the bus stop in the morning, his gait is unsteady. What else might you expect ot observe in the patient?
A. Pupils that accommodate but do not react to light
B. Amyotrophic lateral sclerosis
C. Hyperactive stretch reflexes
D. Subacute combined degeneration
E. Horner syndrome
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| mjl1717
Forum Hero
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answer-d
___________________
Smell the coffee! "Is That an Osler move??"
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| cococat
Forum Junior
Topics: 4
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no, we made same mistakes though :roll:
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| santaclara
Forum Elite
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is it "C"
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| cococat
Forum Junior
Topics: 4
Posts: 46
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no,should I tell the answer?
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| cococat
Forum Junior
Topics: 4
Posts: 46
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The correct answer is A
The patient presents with the three "Ps" of tabes dorsalis: pain, paresthesia, and polyuria, characteristic of tabes dorsalis and caused by late-stage neurosyphilis. These patients may also present with Argyll Robertson pupils, which accommodate but do not constrict in response to light.
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| yeti00
Forum Newbie
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So subacute combined degeneration is in response to vitamin B12 deficiency. I just looked it up since I didn't know it...
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| carmenburana
Forum Newbie
Topics: 4
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Those two can be so hard to differenciate, especially if the patient is a sailor!
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