CEREBROSPINALECTOMY
The weakness starts in the toes and climbs — legs, then trunk, then hands. Guillain-Barré is the one disease polite enough to announce which floor it's on.
The reflexes disappear on the way up.
Send this to the resident who calls every ascending weakness 'probably nothing.'
EXPLAINED (ACCURACY-CHECKED)
Guillain-Barré syndrome (acute inflammatory demyelinating polyradiculoneuropathy) classically causes ascending, symmetric weakness with hyporeflexia/areflexia.
Established clinical neurology (GBS ascending areflexic weakness); textbook.
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