A previously well 30-year-old man develops progressive ascending weakness over several days following a diarrhoeal illness. Examination shows areflexi...

Question

A previously well 30-year-old man develops progressive ascending weakness over several days following a diarrhoeal illness. Examination shows areflexia in the legs and reduced power proximally and distally. Sensation is mildly impaired. What is the most appropriate next step in management?

Accepted Answer

Urgent admission for monitoring and consideration of IV immunoglobulin

Answer

Reassure and review in 1 week

Answer

Start high-dose oral Prednisolone

Answer

Outpatient neurology clinic referral in 6 weeks

Answer

Start long-term physiotherapy only

uk-plab-1 MCQ (SBA): Guillain–Barré syndrome

A previously well 30-year-old man develops progressive ascending weakness over several days following a diarrhoeal illness. Examination shows areflexia in the legs and reduced power proximally and distally. Sensation is mildly impaired. What is the most appropriate next step in management?