Wednesday, January 30, 2008
Case 3: A 39-Year-Old Man With Subacute Polyneuropathy.
Previous medical history: in addition to hypertension and COPD, the patient suffered from panic attacks. in 1970, subsequent to an automobile accident, he was unable to walk for about 2 weeks but did not seek medical attention at the time. he experienced chronic pain in the shoulders, knees, and ankles as a result of this accident. in 1998, the patient fell down a hill and since then used a cane when walking (slight limp). the patient was a carpenter who had been retired for 5 years because of chronic pain. he had a 75 pack-year tobacco history (currently 3 packs/day), and was a heavy alcohol drinker but had not used alcohol since 1990. he smoked marijuana 2-3 times a week.