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En pensionerad fd skådespelerska kommer till akutmottagningen pga gång- och balanssvårigheter. Medföljande make och dotter uppger till dig bla att pat sedan många år tillbaka överkonsumerat alkohol och under den senaste månaden druckit minst en flaska rödvin och några folköl dagligen. Hon har nu klagat över yrsel samt stickningar och svaghet i fötterna, har svårt med balansen, kan ej gå. Situationen i hemmet har blivit ohållbar.Status: Nykter, mager, ovårdad. Obekymrad, pratsam. Desorienterad till samtliga kvaliteter. Du upplyser henne flera gånger om dagens datum men hon kan ej lära sig detta. Kommer ihåg 0/5 saker efter 3 minunters avledning. Bilat abducenssvaghet vid ögonrörelser. Romberg pos. Går bredspårigt med levande stöd. Areflexi i benen. Nedsatt yt- och djupkänsel under knänivå bilat. a) Vad talar statusfynd i benen för?b) Vad kallas pats minnesrubbning?c) Sannolik genes till besvären?d) Ange lämplig behandling.
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