Author: Thomas Mac Mahon / Editor: Yasmin Sultan / Codes: NepC3, NepP1, NeuP8, SLO1Published: 30/11/2022

An 84-year-old woman is brought to the emergency department (ED) with confusion and weakness, worsening over the past three weeks. She takes amlodipine, paroxetine and levothyroxine.

She is afebrile, her vital signs are within normal limits, with no focal weakness on examination and a normal serum glucose.

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