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Good evening, everyone. Good evening, everyone.

It's Neurology Morning Report.

Nice to see everyone.

Let's go ahead.

Yasmin, do you want to give us just the chief concern?

And we'll go ahead and get started.

Of course, this starts with a 39-year-old man presenting with lethargy and myoclonic jerking.

Okay, lethargy, myoclonic jerking, Kiara or Maria, whoever would like to go first to discuss either one of those symptoms separately or both together.

Okay, and we a little oxidated here, but I can start.

Well, I think it's important to take into God that this is a young man.

I think it's his meal.

And the fact that he has lethargy and he's a young man

makes me think about something about some psychology because if it is an older man, maybe

reforgia is a common symptom for him, but not in this case.

So maybe I can start with Lefagi.

This is not a very specific symptom because many diseases can come present of this symptom.

But as we are in a neurovmr, maybe he has some muscle compromise that is making him feel

lethargy or some, especially some neuromuscular problem.

That's when I, that's what I think about lethargy.

But then the chief complaint says that he has some meoconic jerkin.

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