Episode 276: Neurology VMR – Lethargy and Myoclonus
The Clinical Problem Solvers
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Can't Participate in the Colonoscopy
There's no reason this patient should be having strokes that we know of yet unless their colonoscopy led to stroke. We have what's called an encephalopathy which just means a brain apathy right there's altered mental status or they sort of vague terms that something's going on in the brain and we can't say too much more. What could be a process affecting the whole brain all at once you could get a lot of small emboli if there was a cardiac source. There's not one arm that's out or one leg that’s out or when you do a little pinch on the toe or the finger when the patient grimaces is it asymmetric so all kinds of
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