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The symmetric distribution of the symptoms is concerning.
Suggests definite neurological cause.
Peripheral neuropathy can be caused by the autimmune nerve damage.
Medical withdrawal from latuda and sonata also can cause such symptoms commonly.
Usually tend to improve gradually over time.
Spine problem is also possible if involving spinal cord for example.
Degenerative neurolgical disorders like multiple sclerosis should be borne in mind.
However this is not urgent sine no significant worsening.
Neurologist consultation and then nerve conduction test with EMG will be required.
These tests cannot be performed in the ER.
So ER visit not needed for now.
Gabapentin may be tried meanwhile.
Better discontinued before EMg testing.
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