Your case for this week is an absolute corker. See if you can do better than the numerous clinicians who missed the more subtle symptoms for over 12 months before this patient came in to A&E in a really precarious situation.
Watch the video, listen to the quality of the speech and file away the basic features from the clinical signs demonstrated. Keep your eyes peeled for axial muscle strength – it is rarely taught and rarely done, but can be extremely helpful.
Hope you feel as happy as I did when you see the outcome after treatment – this is one of the greatest feelings you can have as a medic.
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