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Re: Unusual patient

>Dr Carol writes:         14yo who presented to my office with the complaint of
>tingling and numbness of her right foot, leg, hand, arm and face.  She had
>been at the pool with a friend swimming whtn she began comlaining of the
>numbness so they decided to go home.
>        What do ya'll think we should include in the differential?  Have
>you ever
>seen anything like this?  She has been scary to take care of because of the
>difficulty in following her mental status.

agree  - basilar migraine, also stroke
also consider substance abuse - cocaine, speed or
        poisoning

Marcia Schneider