A woman in her sixties was admitted to the emergency department because of increased fatigue, slurred speech, nausea and vomiting. The woman stated that the fatigue had begun a few months earlier, accompanied by mental lethargy, myalgia and leg cramps, which could alleviate some with multi vitamin supplements. The occurrence of language disorders, nausea and vomiting, however, they continue to carry on in the clinic. medical history revealed a hysterectomy 30 years ago, having previously played three pregnancies without complications.The patient's skin was dry, signs of dehydration could not be found and the patient had no edema. The physical examination showed up on the language change no neurological abnormalities.
Thorax and abdomen were normal. The results of the initial laboratory investigation can be found in the attached table. How would you proceed? What do you think, what other…
