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42 M facial grimicing, poor articulation of speech x 3 months irrational behavior, chronic fidgeting x 1 yr disjointed, poorly coordinated gait MSE – 19 Pathophys?

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42 M
facial grimicing, poor articulation of speech x 3 months
irrational behavior, chronic fidgeting x 1 yr
disjointed, poorly coordinated gait
MSE – 19
Pathophys?

 
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