A 45-year-old man presents with progressive clumsiness, stating he often drops objects and recently has had difficulty performing tasks requiring fine motor coordination, such as hammering a nail. He also reports that his speech has become slurred, and his legs occasionally feel weak. He denies visual or cognitive changes. A chronic degenerative disease of the central nervous system involving predominantly motor neurons is suspected. Which of the following is the most likely diagnosis?
A 40-year-old administrative assistant presents with daily h…
A 40-year-old administrative assistant presents with daily headaches that she describes as a dull, pressure-like pain around the forehead and occipital area. The pain is bilateral, non-pulsatile, and is not associated with nausea, vomiting, photophobia, or aura. She notes that the headaches often begin in the afternoon and are worse during periods of stress. Over-the-counter analgesics provide some relief. What is the most likely patient’s diagnosis?
A 29-year-old woman presents with intermittent visual distur…
A 29-year-old woman presents with intermittent visual disturbances, right arm weakness, and numbness in the left leg. MRI of the brain and spinal cord reveals multiple demyelinating lesions in both supratentorial and spinal regions. Which of the following best explains the asymmetric and varied presentation of her symptoms?
Where did Hedda Gabler acquire her pistols? …
Where did Hedda Gabler acquire her pistols?
According to our class discussion, the author in Pirandello’…
According to our class discussion, the author in Pirandello’s “Six Characters in Search of an Author” is somewhat like a
One of the common themes found in Blake’s poetry is the idea…
One of the common themes found in Blake’s poetry is the idea of organized religion as a negative societal influence. This theme is evident in which poem?
The poem we read that refers to his belief in gyres and says…
The poem we read that refers to his belief in gyres and says the falcon can no longer hear the falconer is
A 60-year-old woman presents to the emergency department wit…
A 60-year-old woman presents to the emergency department with sudden onset of right-sided weakness and slurred speech. A non-contrast CT of the head rules out hemorrhage, and further imaging confirms a left middle cerebral artery infarct. Her past medical history includes hypertension, hyperlipidemia, and type 2 diabetes mellitus. She is a nonsmoker. What is the most likely underlying cause of this patient’s cerebrovascular accident (CVA)?
In which poem does Blake use fire imagery to examine religio…
In which poem does Blake use fire imagery to examine religious views?
Neruda’s “I’m Explaining a Few Things” compares the color of…
Neruda’s “I’m Explaining a Few Things” compares the color of the geraniums to