On neurologic examination, the pupils and extraocular movements were reportedly normal, without nystagmus. The vital signs were normal, and the oxygen saturation was 100% while he was breathing ambient air. On examination, he was alert and oriented but slow to respond, and he intermittently laughed inappropriately. He reported being off-balance and light-headed, with blurred vision and pain at the base of the right side of the skull. On arrival at the hospital 1 hour after the onset of symptoms, he required assistance getting into a wheelchair. While in transit, the dysarthria worsened and the patient reported blurred vision. Approximately 20 minutes later, his speech became slurred his parents transported him to the emergency department at another hospital. the evening before admission, when he had an abrupt onset of weakness, shaking and buckling of his legs, and clumsiness of his right hand. Musolino (Neurology): An 18-year-old man was transferred to this hospital because of blurred vision, dysarthria, and ataxia, which had reportedly progressed to coma. The most trusted, influential source of new medical knowledge and clinical best practices in the world.ĭr. Information and tools for librarians about site license offerings. Valuable tools for building a rewarding career in health care. The authorized source of trusted medical research and education for the Chinese-language medical community. The most advanced way to teach, practice, and assess clinical reasoning skills. Information, resources, and support needed to approach rotations - and life as a resident. The most effective and engaging way for clinicians to learn, improve their practice, and prepare for board exams. NEW! Peer-reviewed journal featuring in-depth articles to accelerate the transformation of health care delivery.Ĭoncise summaries and expert physician commentary that busy clinicians need to enhance patient care. NEW! A digital journal for innovative original research and fresh, bold ideas in clinical trial design and clinical decision-making.
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