Nina Adams iHuman 

iHuman Patient: A 45-year-old woman

Chief complaints: fatigue & arm Weakness 

• Reports experiencing a brief episode of double vision approximately 8 weeks ago 
• Double vision resolved spontaneously after about two hours. 
• Her left eye has a visual acuity of 20/200
• With optic disc edema and pallor noted
• Neurological exam reveals right arm weakness (strength 4/5)
• Diminished tactile sensation
• Her past medical history is significant for well-controlled hypertension.
• Review of systems is notable for significant fatigue, a chronic cough, and a history of occupational exposure to repetitive motions.

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