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Clinical Reasoning: A case of altered mental status, not otherwise specified

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A 33-year-old right-handed woman presented with a 1-week history of rapid cognitive decline. The behavioral changes emerged gradually, with the first sign marked by erratic driving resulting in arrest. The… Click to show full abstract

A 33-year-old right-handed woman presented with a 1-week history of rapid cognitive decline. The behavioral changes emerged gradually, with the first sign marked by erratic driving resulting in arrest. The patient was nonchalant about the detainment, which was out of character. In the preceding week, she had a precipitous decline in cognitive abilities, including a loss of interest in grooming, emotional outbursts, fecal and urinary incontinence, difficulty performing household chores, and jerky movements of her arms and legs impairing her ability to walk.

Keywords: case altered; clinical reasoning; mental status; reasoning case; status otherwise; altered mental

Journal Title: Neurology
Year Published: 2017

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