Skill Checkup: A 29-Year-Old Woman With Feet Numbness, Muscle Weakness in Her Legs, and Shortened Attention Span

Christopher Luzzio, MD


November 28, 2022

The Skill Checkup series provides a quick, case-style interactive quiz, highlighting key guideline- and evidence-based information to inform clinical practice.

A 29-year-old Black woman in the United States who is 5'6" (1.68 m) and 145 lb (65.78 kg) is currently experiencing numbness in her feet and muscle weakness in her legs; she has also noticed her attention span at work has shortened. Follow-up questioning reveals that about a year ago, she had experienced episodes of visual loss in her right eye, which subsequently resolved. She also indicates that her activity level has decreased because she seems to be unable to stop feeling tired all the time. She is concerned about the fatigue she is experiencing because she is currently trying to conceive with her partner. Her temperature is 98.6°F (37°C), and she has no comorbidities.


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