Weak 2

Blood & Lymphoreticular System

Step 1: View Clinicals

{"ops":[{"insert":"A 45 year old lady of South Asian origin presents with sudden weakness of her left arm and right leg for 8 hours. There was no associated slurring of speech, difficulty in swallowing, or sensory disturbances.\n\nShe was diagnosed with delusional disorder 3 months ago, after experiencing paranoid delusions for 1 year, and is currently on treatment with haloperidol.\n\nHer medical and surgical histories are unremarkable, and there is no family history of stroke, heart disease or thrombotic disorders.\n\nShe is not on oral contraceptives, has never been pregnant, and does not smoke or consume alcohol. She denies using recreational drugs.\n\nSerial ECGs are found to be normal, while her random capillary blood glucose is 105 mg\/dL.\n\nHer complete blood count is significant for a platelet count of 68,000\/mm3. ESR, CRP, serum electrolytes, and her liver and renal profiles are all normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-125_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. MRI Brain
2. Echocardiography
3. Serum Homocysteine
4. Antiphospholipid Screen

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