MARC details
| 000 -LEADER |
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| fixed length control field |
02518nam a22002537a 4500 |
| 001 - CONTROL NUMBER |
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| control field |
MED 2020 0006 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
PILC |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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| control field |
20240720153219.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
211108b xxu||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Language of cataloging |
eng |
| Transcribing agency |
FEU-NRMF MEDICAL LIBRARY |
| Description conventions |
rda |
| 041 ## - LANGUAGE CODE |
|---|
| Language code of text/sound track or separate title |
english |
| 050 ## - LIBRARY OF CONGRESS CALL NUMBER |
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| Classification number |
MED 2020 0006 |
| 245 ## - TITLE STATEMENT |
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| Title |
A Rare case of guillain barre syndrome AMSAN variant / |
| Statement of responsibility, etc. |
John Kenneth Y. Magtoto. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
|---|
| Place of publication, distribution, etc. |
Fairview, Quezon City: |
| Name of publisher, distributor, etc. |
Department of Internal Medicine, FEU-NRMF, |
| Date of publication, distribution, etc. |
2020. |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Dimensions |
(in folder) |
| Accompanying material |
with CD (soft copy). |
| 336 ## - CONTENT TYPE |
|---|
| Source |
rdacontent |
| Content type term |
text |
| 337 ## - MEDIA TYPE |
|---|
| Source |
rdamedia |
| Media type term |
unmediated |
| 338 ## - CARRIER TYPE |
|---|
| Source |
rdacarrier |
| Carrier type term |
volume |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc |
Includes appendices and bibliographical references. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Abstract: Patients' chief complaint guides physicians on how to approach a certain cases while having the most probable diagnoses at the back of their minds. This is a case of a 50-year-old female presenting with left sided facial and body numbness. Her sensorium was intact, with associated ptosis of the left eye, dysphagia, slurring of speech, and left sided body weakness. Upon further eliciting an in-depth history, Guillain Barre Syndrome (GBS) was entertained. An early recognition of the signs and symptoms, along with a high index of suspicion, has lead to avoidance in delay in the diagnosis. The initial EMG NCV done was not definitive at that time because it showed no electrophysiologic evidence for an immune-mediated polyneuropathy yet. However, due to the acuteness of the symptoms, absence of F wave responses, and absence of H-reflex, GBS was still suspected. Even though the initial result was not definitive, patient still was still immediately treated with a course of IVIg for 5 days. A repeat EMG NCV was done after a week revealed diffuse bilateral symmetric distal more than proximal, predominantly axonal sensorimotor polyneuropathy involving the lower limbs and upper extremities, thus confirming the diagnosis of Guillain Barre Syndrome - Acute Motor Sensory Axonal Neuropathy (AMSAN) variant. In an inexperienced eye, diagnosis of GBS-AMSAN variant might be mistaken for other disease entities. Time is gold in the treatment of GBS because it is common to have pulmonary complications due to muscle paralysis. The prompt initiation of treatment is assumed to lead to a better prognosis, and to an extent, decrease the risk of serious long term complications to the patient. |
| 521 ## - TARGET AUDIENCE NOTE |
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| Target audience note |
Research - Department of Medicine |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Magtoto, John Kenneth Y., MD. |
| Relator term |
author |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
Library of Congress Classification |
| Koha item type |
Room Use |
