Episode 359: Neurology VMR – altered mental status
Description
Episode title: Episode 359 Neurology VMR – altered mental status
Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Vale presents a case of altered mental status to Aye.
Aye Chan Moe Thant
<img decoding="async" src="data:image/png;base64,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