sudden lower abdominal pain women
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A 23-year-old woman with no previous history of psychiatric illness or substance abuse is admitted for sudden onset of restlessness, visual and auditory hallucinations, and emotional lability. Her parents report that she had been treated with trimethoprim/sulfamethoxazole for a urinary infection 2 weeks ago. She has frequent abdominal pains and constipation. On examination, she looks pale, weak, diaphoretic, and is tachycardic. There is symmetric bilateral weakness of the lower extremities, with greatly diminished tendon reflexes. Which of the following is the most likely diagnosis?
A. Acute intermittent porphyria
B. Addison disease
C. Guillain-Barré syndrome
D. Hyperthyroidism
E. Systemic lupus erythematosus
C. Guillain-Barre syndrome
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