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Episode 276: Neurology VMR – Lethargy and Myoclonus

The Clinical Problem Solvers

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Do You Want a Lumbar Puncture?

White blood cells 12.3 normal differential and muggling 8.1 platelets 502,000 sodium 138 potassium 4.6 chloride 98 bn 53 creatinine 3.7 glucose 233 calcium 8.9 phosphorus 6.3 magnesium 1.3 AST 109 ALT 107 total valerubine of 0.4 alfas 204 total protein 7.3 albumin 3.6 lactate of 1 uric acid 13.8 ammonia 10 the troponic peak at 0.10 the normal is to 0 to 0.3 sorry TFT normal blood cultures negative HSV HIV hepatitis panel negative histoplasmosis adagein not detected do you want the lumbar puncture

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