Bedside
Rounds

Case #154Neurology

Progressive Difficulty Swallowing and Breathing in a Known Myasthenia Patient

Progressive Difficulty Swallowing and Breathing in a Known Myasthenia Patient
At a glance
HR 108 bpm BP 132/78 SpO2 91% Forced Vital Capacity (FVC): 0.8L (12 mL/kg)

"34F with swallowing & breathing difficulty & FVC 0.8L."

Patient History

A 34-year-old female librarian presents with increasing difficulty swallowing and breathing over the past 2 days, now unable to swallow water. Her swallowing started getting worse 2 days ago with food feeling stuck.

Clinical Examination & Labs

Since this morning her breathing has become very difficult and she cannot take a deep breath.

Diagnostic Management Pathway

Select the optimal evidence-based clinical intervention for this case:

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