Clinical Reasoning: An unusual diagnostic triad

Abstract

A 44-year-old woman with a history of hypothyroidism taking daily levothyroxine was admitted to an outside hospital with subacute cognitive decline. Her symptoms had started 3 weeks previously with headache, sore neck, and upper respiratory symptoms for which she sought care at a local emergency room. She did not complain of confusion or demonstrate signs of cognitive decline at that time and was discharged home with a prescription for antibiotics. A

Neura: a specialized large language model solution in neurology

“…Five representative cases were adapted from Neurology’s Resident & Fellow Clinical Reasoning section (Francis et al, 2015; Choi et al, 2017; Harada et al, 2019; Lun et al, 2020; McIntosh and Scott, 2021) to mirror the clinical practice through a two-tiered diagnostic approach. The first tier required formulating and justifying an exhaustive differential diagnosis based on initial clinical presentation and findings.…”