Central Nervous System: 55 y/o woman with lethargy
Clinical Presentation:
55 y/o woman presents with fatigue and lethargy for the past 6 months. She has no significant past medical history. She works at a law office as a filing clerk. On examination today, she appears lethargic. She is not oriented to time or place. You also notice a mild tremor of the left hand. The rest of her neurologic exam is unremarkable. Her vital signs are: BP 110/70, HR 80/min. and temp 36.7