A 45-year-old previously healthy man presents with rapidly progressive ascending weakness following a diarrhoeal illness 2 weeks ago. Examination show...

Question

A 45-year-old previously healthy man presents with rapidly progressive ascending weakness following a diarrhoeal illness 2 weeks ago. Examination shows areflexia and symmetric flaccid paralysis of the legs. What is the most appropriate immediate management?

Accepted Answer

Begin intravenous immunoglobulin or plasmapheresis and monitor respiratory function in hospital

Answer

Start high-dose prednisone

Answer

Discharge with outpatient neurology follow-up

Answer

Start broad-spectrum antibiotics

Answer

Begin anticoagulation only

ca-mccqe1 MCQ (SBA): Guillain-Barré syndrome

A 45-year-old previously healthy man presents with rapidly progressive ascending weakness following a diarrhoeal illness 2 weeks ago. Examination shows areflexia and symmetric flaccid paralysis of the legs. What is the most appropriate immediate management?