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Is it safe to treat an 81-year-old patient with vitamin B12 (B12) injections for a deficiency, given worsening memory changes likely related to dementia?
Getting Diagnosed: Tests and What to Expect History and exam • Your clinician will ask: when it started, triggers (posture, exertion, sleep), exact location (which fingers), associated symptoms (neck pain, chest pressure, vision/speech trouble), and what helps or worsens it
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Ultrasound must be used for real-time needle guidance, not merely present in the room
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