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Ravi and Lauren, do you want to introduce yourselves? Let us know where you're joining us from. Yes, my name is Ravi Patel. I'm calling from India, New Delhi. Okay, fantastic. And if you don't mind telling us where you are in your training, Robbie? Yes. Yeah, 30 years in medical school. Third year medical school in New Delhi. Okay. Thank you for joining us. And I know you've discussed

neurology case before. Glad to have you discussing for those who were a reluctant today. Look,

Ravi liked it so much you wanted to do it a second time. So that's fantastic. I'm Lauren. Do you want to

introduce yourself? Hi, I'm Lauren. I live in Newport Beach and I'm a fourth-year medical

student at UC Irvine.

Fantastic. Your neighbor down the Route 5. I'm up in Los Angeles. So great. Thank you for joining us from Irvine.

Okay, Gabrielle, it looks like you're up. Would you like to present your case? So just start with just the chief complaint here

and then myself, Robbie, and Lauren will take a crack at it in as few words as possible.

Okay, so the chief complaint is involuntary movements in the left hemmy body.

Involuntary movements, great. So Lauren, you hear involuntary movements great so lauraan you hear involuntary movements what starts running through your head

um involuntary movements i guess i start thinking about seizures um different movement disorders

curious about the chronicity of the symptom so So great. When you first hear involuntary

movements, I love that you started with seizure because some people say, oh, it's a movement disorder,

right? It's going to be a tremor or myoclonus, korea, bullism, something like this. And you backed up

one level, which is great to say these involuntary movements,

they could be seizures, they could be a movement disorder. There are other things we can add to that

list too. And you said on the other side, we're going to want to know the time course, right?

So those of you who've been with me before on Tuesdays, now I like to say the E equals MC squared

of clinical reasoning and neurology is differential diagnosis equals localization and time course. So the time course

piece knowing is this sudden onset of involuntary movements, is this sudden and transient, sudden

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