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Life Threatening? No
Write-up: Patient presented 5/10/07 with a ten history of tingling in the right hand. On 5/14/07, she presented with right foot pain and numbness as well. She was referred to the Neurologist where she had an appointment 5/15/07. Patient was admitted, after ER evaluation, on 5/16/07. Patient was treated with IVIG in the hospital and multiple tests were ordered. Patient''s working diagnosis is Landry-Guillain-Barre Miller-Fisher variant. 06/05/07-records received from facility for DOS 05/16-05/21/07-DC DX: Guillain Barre variant. Left Bell''s Palsy. Paresthesias. C/O numbness in dorsum of right hand progressing up her forearm also left foot numbness progressing up her leg and a left facial droop. Numbness started in right hand approximately 1 month after received HPV, Hep A and Menactra vaccine. HX of living in woods and a family pet with ticks. PE: Crainal nerves II through XII intact with exception of mild left facial droop. Paresthesias of bilateral lower extremity and hands and arms in glove and stocking formation. Strength and motor intact. Treated with IVIG. Symptoms without progression and slight improvement daily. Lost reflex in lower extremities but at time of discharge 2+ of right but have not returned on left
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