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NBME 24 Answers
A 19-year-old man has had weakness of the muscles ...
Probably in part due to early age presentation, but I hear you
FA2019 p518 - process of elim for other spinal cord lesions
I thought it just as it was, polyneuropathy is supposed to be a burning pain affecting the extremities, he might have acute intermittent porphyria. He was too young and didn't fit ALS due to the rapid onset. No loss of pain in the arms so it couldn't be syringomelia. Wasn't asymmetric so couldn't be polio. Didn't have anything resembling Parkinson.