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72 M Leg weakness x 2 months Dry mouth, constipation, hand tingling Receiving radiation for lung cancer b/l ptosis that worsens w/ upward gaze He can rise from a chair with his arms folded DTRs absent, sensation is intact What test would establish Dx?

72 M
Leg weakness x 2 months
Dry mouth, constipation, hand tingling
Receiving radiation for lung cancer
b/l ptosis that worsens w/ upward gaze
He can rise from a chair with his arms folded
DTRs absent, sensation is intact
What test would establish Dx?

 
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