No apraxia

A FEW days ago, I took care of a patient admitted for a four-day history of generalized weakness—at least, that was what the watcher beside him had told me. I wasn’t convinced. I spoke with another watcher, one of the extremely worried relatives, who said she only noted the weakness a day ago. Was this acute stroke? I performed a neurologic physical exam. I asked him to show me how he brushed his teeth; he slowly lifted his right hand where the IV line was inserted, and did an up-and down, back-and-forth, and circular motion, his hands clasping an imagined toothbrush. It was a good sign. I then asked him to demonstrate how he combed his hair. He refused to do it, saying, “Kalbo po ako ako. Bakit ako magsusuklay?”

May point siya.

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