Which is the best next step in management

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Problem

A 46-year-old man with HIV (CD4: 77/mm^3), hypertension, hyperlipidemia, a osteoarthritis presents with sudden weakness of his right hand. He reports that veakness has gradually been getting worse and that this morning he dropped his f coffee. He has never had anything like this happen to him before. He rep consistent adherence to his home medications, which include raltegravir, teno tricitabine, TMP-SMX, hydrochlorothiazide, pravastatin, and occasional ibup The patient's temperature is 39.2°C, BP is 156/92 mmHg, pulse is 88/min, and respirations are 18/min. Get the instant assignment help. On neurological exam, he has 3/5 strength in the distal muscles of the right extremity with preserved sensation. His neurological exam is normal in all the other extremities. Which is the best next step in management?

Reference no: EM133964614

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