Biomaterial Database

Progressive unilateral arm weakness in a 7-year-old boy. 2010

Thuy Ngo, and Cara Doughty

Pediatric Emergency Medicine, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, USA. tlngo@texaschildrens.org

A child with joint or extremity pain is a common presentation to the emergency department. Often, there is some element to the patient's history, whether it is trauma or some other significant history, which leads to a likely diagnosis. When there is a history of fever and progressive arm weakness, an astute emergency physician would have heightened awareness of a possible systemic process. We describe a case of unilateral shoulder pain with associated fever in a 7-year-old boy who presented to the emergency department with progressive arm weakness to the same side.

UI	MeSH Term	Description	Entries
D008279	Magnetic Resonance Imaging	Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.	Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008297	Male		Males
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D003937	Diagnosis, Differential	Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures.	Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000208	Acute Disease	Disease having a short and relatively severe course.	Acute Diseases,Disease, Acute,Diseases, Acute
D001132	Arm	The superior part of the upper extremity between the SHOULDER and the ELBOW.	Brachium,Upper Arm,Arm, Upper,Arms,Arms, Upper,Brachiums,Upper Arms
D018908	Muscle Weakness	A vague complaint of debility, fatigue, or exhaustion attributable to weakness of various muscles. The weakness can be characterized as subacute or chronic, often progressive, and is a manifestation of many muscle and neuromuscular diseases. (From Wyngaarden et al., Cecil Textbook of Medicine, 19th ed, p2251)	Muscular Weakness,Muscle Weaknesses,Muscular Weaknesses,Weakness, Muscle,Weakness, Muscular,Weaknesses, Muscle,Weaknesses, Muscular
D020069	Shoulder Pain	Unilateral or bilateral pain of the shoulder. It is often caused by physical activities such as work or sports participation, but may also be pathologic in origin.	Pain, Shoulder,Pains, Shoulder,Shoulder Pains
D020968	Brachial Plexus Neuritis	A syndrome associated with inflammation of the BRACHIAL PLEXUS. Clinical features include severe pain in the shoulder region which may be accompanied by MUSCLE WEAKNESS and loss of sensation in the upper extremity. This condition may be associated with VIRUS DISEASES; IMMUNIZATION; SURGERY; heroin use (see HEROIN DEPENDENCE); and other conditions. The term brachial neuralgia generally refers to pain associated with brachial plexus injury. (From Adams et al., Principles of Neurology, 6th ed, pp1355-6)	Amyotrophy, Neuralgic,Cervico-Brachial Neuralgia,Neuralgia, Amyotrophic,Neuralgic Amyotrophy,Neuritis, Brachial Plexus,Parsonage-Turner Syndrome,Shoulder-Girdle Neuropathy,Amyotrophic Neuralgia,Amyotrophy, Hereditary Neuralgic,Amyotrophy, Hereditary Neuralgic, with Predilection for Brachial Plexus,Brachial Neuralgia,Brachial Neuritis,Brachial Plexus Neuropathy, Hereditary,Cervicobrachial Neuralgia,Familial Brachial Plexus Neuritis,Hereditary Brachial Plexus Neuropathy,Hereditary Neuralgic Amyotrophy,Heredofamilial Neuritis with Brachial Plexus Predilection,Neuritis With Brachial Predilection,Parsonage-Aldren-Turner Syndrome,Shoulder Girdle Neuropathy,Amyotrophic Neuralgias,Amyotrophies, Hereditary Neuralgic,Amyotrophies, Neuralgic,Brachial Neuralgias,Brachial Neuritides,Brachial Plexus Neuritides,Cervico Brachial Neuralgia,Cervico-Brachial Neuralgias,Cervicobrachial Neuralgias,Girdle Neuropathies, Shoulder,Girdle Neuropathy, Shoulder,Hereditary Neuralgic Amyotrophies,Neuralgia, Brachial,Neuralgia, Cervico-Brachial,Neuralgia, Cervicobrachial,Neuralgias, Amyotrophic,Neuralgias, Brachial,Neuralgias, Cervico-Brachial,Neuralgias, Cervicobrachial,Neuralgic Amyotrophies,Neuralgic Amyotrophies, Hereditary,Neuralgic Amyotrophy, Hereditary,Neuritides, Brachial,Neuritides, Brachial Plexus,Neuritis, Brachial,Neuropathies, Shoulder Girdle,Neuropathies, Shoulder-Girdle,Neuropathy, Shoulder Girdle,Neuropathy, Shoulder-Girdle,Parsonage Aldren Turner Syndrome,Parsonage Turner Syndrome,Shoulder Girdle Neuropathies,Shoulder-Girdle Neuropathies,Syndrome, Parsonage-Aldren-Turner,Syndrome, Parsonage-Turner