1. Ehsan Ghods, DO Family Practice
Case Review
Ehsan Ghods, DO
Family Practice

2. Case 1
67 y.o. Caucasian male
History of hyperlipidemia
Presented with intermittent pain and numbness under his right arm after doing house work.
No history of injury
Symptoms not related to any position or activity

3. Patient was being seen in OMM for thoracic pain for 3 months
Patient advised to do stretches and continue to observe for worsening of symptoms.
Exam showed tightness of the right pectoral and latisimus muscles with mild decreased ROM to flexion of the right shoulder

4. 2 weeks later Patient emails having unusual sensations in his knees
Feeling of knots in his muscles
Trouble with balance
Concerned about statin side effect
Advised that it’s unlikely to be caused by the statins and to go ahead and stop the statin anyway and if symptoms don’t improve to let me know.

5. 1 week later Symptoms are worse Schedule Office consult
Numbness in his lower abdomen and groin
Schedule Office consult
Weakness of his lower extremities
Difficulty with balance
Decreased sensation of the lower abdomen and groin
Had brisk lower extremity reflexes

6. Referred to Neurology Case discussed with NorthBay Neurologist
Emeer Almullahassani, MD
Recommended STAT spine MRI
Patient sent to Emergency Room

7. Result… Tumor found on T3
Referred to Neurology, Oncology and Neurosurgery