Received Oct 30, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 7JZ2R | IM |
64 y/o right handed man who says, he had paresthesias in his feet 2 days ago (10/28/25), slowly ascending up, then with burning sensation to his hips yesterday (10/29/25), and found with weakness ascending from feet up as of yesterday afternoon/evening (10/29/25). Today (10/30/25), arms/hands are weak, and concern for aspiration. Flu vaccine 10/26/25. Clinically, high suspicion for GBS Ascending paralysis Bulbar symptoms Areflexia in legs He definitely can have cord disease/compression, however, would not explain bulbar symptoms. Hx aligns more with GBS, will start IVIG pending MRI spine studies, C spine being most crucial wwo contrast. Flu vaccine likely culprit if GBS -pending MRI studies -cannot get an LP due to thrombocytopenia, coagulopathy -IVIG x5 days -nif/vc q2h
alcoholic cirrhosis with acute liver failure, group B strep bacteremia, left abdominal mass
DM2, HTN, shoulder pain,
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