By vgreene, 16 September, 2022 Exclude Patient Type Detail Header No Detail Type Text Detail Text If pt has acute flaccid limb weakness sudden arm or leg weakness esp after respiratory illness or fever and btwn months of August and November 2022 Strongly consider acute flaccid myelitis AFM 5 Consider neurology and ID consults to assist w AFM dx AFM can be difficult to diagnose because it shares many of the same sx as other neurologic diseases such as transverse myelitis and Guillain Barre syndrome6 If pt presents w possible AFM Collect specimens from multiple sources CSF serum stool and a nasopharyngeal or oropharyngeal swab as early as possible preferably on day of onset of limb weakness Coordinate w state public health lab to send AFM specimens to CDC for AFM and polio testing Maintain vigilance and report possible cases of AFM to the state or local health department using the patient summary form Patient Type Detail Header (Long) Pts w/ possible AFM: