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Young Woman Feeling Sick and Confused by Masamichi Ikawa; Akiko Matsunaga; Makoto Yoneda is a book available to read on EtoBox.

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A 32-year-old right-handed woman developed persistent fever with malaise and nausea. The symptoms persisted for 2 weeks, after which she was admitted because of delirium, amnesia, and repetitive generalized convulsions with loss of consciousness. She had no remarkable past and family medical history, which included a history of abortions and thyroiditis. However, she had gained a body weight of 20 kg in the 1 year preceding this episode. She was not on medication and did not smoke or consume alcohol. ## Examination At admission, the patient had a body temperature of 37.2°C, blood pressure of 120/80 mmHg, pulse rate 70 beats per minute, regular respiratory rate of 12 breaths per minute, and oxygen saturation of 97% (room air). The patient's height was 167 cm, while the weight was 70 kg (body mass index: 25.1). The physical examination findings were unremarkable; we did not find edema in the extremities or enlargement of the thyroid gland. The patient was drowsy and in a state of confusion, along with amnesia. The function of the cranial nerves was intact. Muscular weakness, sensory disturbance, cerebellar ataxia, and involuntary movements were not observed. Tendon reflexes in the ex

Author

Masamichi Ikawa; Akiko Matsunaga; Makoto Yoneda

Publisher

Cambridge University Press

Published

2021

Language

EN