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Episode 269: Neurology VMR – Headache and altered mental status

The Clinical Problem Solvers

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Neuroexam

All four extremities were four over five and reflexes were plus two throughout. Her muscular trophism was normal, she didn't seem to be hypotonic or hypertonic. She did have no call rigidity when I examined her. And also on admission, I didn't see her on lydi, but they did report that. So Joy, let me ask you the question I asked Maitia to predict before this exam. Is this a focal exam, a non focal exam? Does it lead you in a particular direction, Joy?

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