Peripheral Vascular Exam: Capillary refill less than 3 seconds, good skin turgor, +2 radial, popliteal, and dorsal pedis pulses bilaterally.Ex WNL: Paresthesia in bilateral lower extremities, Diplopia, lack of patellar reflex in the right leg, no numbness and tingling in bilateral upper extremities.Neurological: Alert and oriented x4, purposeful motor response, strong hand grip strength, strong dorsiflexion and plantar flexion, pupils 3 mm, brisk and equal pupil reflex in right and left pupils, no hand or leg drift, and a normal gait. ![]() Pain: 8/10 pain behind both eyes and in eyeballs.She speaks clearly and logically and states her chief complaint. Ms JP is a slender, well-groomed Caucasian female that presents to the clinic with a worried expression. Mother has hypothyroidism and high blood pressure.Vitamin D deficiency diagnosed at age 22.You have decided that this infant Needs fluid resuscitation. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The patient also complained of double vision, pain behind the eyes, and urgency with difficulty urinating. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94 on 100 oxygen. Last week she went on a run and stated, “When I would run, my legs would go numb and I would just fall”. She recently presented to PCP with flu-like symptoms that has just resolved. JP is a 30 year old Caucasian female who presented to her primary care provider with complaints of numbness in her lower extremities that progressed to her hands and waist over the past year. Chief Complaint: “I’ve had numbness in my legs and toes for months that would come and go”
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