Abstract
Dr. Edward Kimlin: Today's case is that of a 46-year-old woman who was brought to the Emergency Department (ED) by ambulance for evaluation of garbled speech and bizarre behavior for over 4 h. On initial ED evaluation, the patient was confused and agitated, but able to answer questions appropriately. Other than nausea, she denied any other complaints. She also denied taking any medications, drinking alcohol, or ingesting illicit drugs. The history was limited by a waxing and waning mental status.
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