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Guillain-Barre syndrome with respiratory risk — ABEM Board MCQ

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HardNeurological emergenciesGuillain-Barre syndrome with respiratory riskABEM Board

A 43-year-old man arrives as ESI 2 with progressive ascending weakness 10 days after diarrhea. BP 146/90, HR 112, RR 24. He has areflexia, weak cough, and forced vital capacity is 14 mL/kg. Which of the following is the most appropriate disposition?

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Correct answer: AAdmit to the intensive care unit

Guillain-Barre syndrome with low forced vital capacity and bulbar/respiratory weakness requires ICU monitoring and ventilatory readiness.

Reference: AAN Guillain-Barre guidance; Tintinalli Emergency Medicine