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Clerkshift

A case from the library

Sleepy all the time and can't keep her eyes open in a 39-year-old woman

NeurologyHard

Michelle Carter

39 years · Female

Vitals

Heart rate
88 bpm
Blood pressure
122/76 mmHg
Resp. rate
16 /min
SpO₂
98%
Temperature
98.6 °F

How hard it is

A rare condition, or a common one presenting unusually. The standard questions and tests won't get you there; you'll need to spot what doesn't fit.

The diagnosis is not shown here. Finding it is the case.

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Source

Adapted from a case report published in The Neurohospitalist, under the CC BY 4.0 license. The patient's name and some details are invented; the clinical picture follows the report. The report names the diagnosis.