Episode 438: Neurology VMR – Bilateral Leg Weakness
The Clinical Problem Solvers
The Clinical Problem Solvers
4.7 • 528 Ratings
🗓️ 15 January 2026
⏱️ 62 minutes
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| 0:00.0 | Welcome back, Clinical Problem Solvers. |
| 0:05.0 | Maddie and Yusuf here. |
| 0:07.0 | At CP Solvers, our mission is to make clinical reasoning accessible to learners worldwide. |
| 0:13.0 | We invite you to join us for our live virtual morning reports, |
| 0:18.0 | where we break down cases and sharpen our diagnostic reasoning together. |
| 0:22.9 | Now over to you, Yusuf. |
| 0:25.0 | Thanks, Madi. Just a quick reminder, this podcast is for educational purposes only and is not |
| 0:30.8 | a substitute for medical advice. Patient details have been modified to protect their privacy, |
| 0:35.8 | and the views expressed through our own, |
| 0:37.9 | not those of our employers. Now, let's dive into the case. Enjoy the show. |
| 0:46.3 | Hello, clinical problem solvers. Welcome back to another neurology case. My name is Bayan and I'm a medical intern from Syria. |
| 1:00.4 | Today we have a very challenging yet interesting case presented by Dr. Andrew Sanchez, a hospitalist at Beth Israel Deaconess Medical Center. |
| 1:09.2 | Discussing the case presented, we have neurologist Dr. Aaron |
| 1:12.4 | Berkwitz and our two aspiring neurologists, Sarah and Valley. We hope you enjoy this episode. |
| 1:18.6 | Good morning. Good afternoon. Good evening. Clinical problem solvers. We're back for another |
| 1:22.4 | neurology morning report. Good to see everybody, by the way. I've been at neurophiomar in a long time. |
| 1:28.3 | Aliquot number one is the HPI and past medical history. So it's a man in the 70s who came to |
| 1:34.7 | our hospital with bilateral leg weakness. He couldn't notice when exactly the weakness started, |
| 1:39.9 | but he thinks it began no more than three months prior. He decided to present because after being |
| 1:45.1 | unable to stand up from a chair or climb stairs without significant assistance, he then even with |
| 1:50.3 | a walker had difficulty making it from the bed to the toilet, so he had to start using a bedside commode. |
| 1:56.1 | And then for other symptoms, he's noticed, he had worsening loose stools that he calls Frank |
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