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Updated: Sep 9, 2025
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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
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A 74-Year-Old Woman with Leg Weakness
Florence Morriello1, Justin Chiu1
1from the Internal Medicine Training Program at the Northern Ontario School of Medicine University.
NEJM Evidence
|August 28, 2025
Summary
This case report details a 74-year-old woman with a 3-month history of bilateral leg weakness and paresthesia. The report guides readers through developing a differential diagnosis to reach a final diagnosis.
Area of Science:
- Medicine
- Clinical Case Study
Background:
- Morning reports are traditional medical education sessions for discussing patient cases.
- This format facilitates collaborative learning and diagnostic reasoning among physicians.
Purpose of the Study:
- To present an interesting clinical case of bilateral leg weakness and paresthesia.
- To guide readers through the diagnostic process, from initial presentation to final diagnosis.
Main Methods:
- Case presentation of a 74-year-old female with a 3-month history of bilateral leg weakness and paresthesia.
- Utilized clinical questioning, physical examination, and diagnostic testing to formulate an illness script.
- Progressively refined the differential diagnosis based on the evolving clinical course.
Main Results:
- An illness script was developed to explain the patient's symptoms.
- The differential diagnosis was narrowed through clinical evaluation and testing.
- A definitive diagnosis was established by the end of the case study.
Conclusions:
- This case illustrates the systematic approach to diagnosing complex neurological presentations.
- The morning report format effectively aids in clinical reasoning and medical education.
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