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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weakness In Extremities In Case Of Mononucleosis?

Hey, I am a 5 6 27 year old female that weighs 135 pounds. I have been a floor nurse working night shift for the past 5 years. I have had no health problems until working nights. In 2008 I ran a high fever and was diagnosed with mono. Last March I started to get occasionally lightheaded and developed pressure headaches that still come and go. This past January my legs and arms started to feel very weak like they were heavy to lift. I thought I had the flu although I had no fever. I rested for a week and felt better but it has come on me again and has lasted for several weeks. I just feel weak in all my extremites. I also took Klonopin for about a month for the headaches and have taking restoril and ambien in the past for sleep. I haven t taken any medication for the past 3 weeks but vitamins and occasional tylenol pm. Do you think this new onset of weakness is related to anything else? Could it be a late side effect of the medications I took?
Mon, 26 Dec 2016
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General & Family Physician 's  Response
Hi,
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:
1)Please do a clinical exam neuro as you mentioned weakness and if any positive finding comes then do MRI otherwise not.
2)Secondly Do fasting Blood sugar and TSH
3)Do full blood count with differential as you have mentioned fever
4)For your headache please go for MIGRAINE first then others and check all trigger points first which leads to it then go for treatments.

So do what i told and DX is minor.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,
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What Causes Weakness In Extremities In Case Of Mononucleosis?

Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-: 1)Please do a clinical exam neuro as you mentioned weakness and if any positive finding comes then do MRI otherwise not. 2)Secondly Do fasting Blood sugar and TSH 3)Do full blood count with differential as you have mentioned fever 4)For your headache please go for MIGRAINE first then others and check all trigger points first which leads to it then go for treatments. So do what i told and DX is minor. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,