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In humans, local axonal disturbance leading to myokymia may be caused by demyelination (multiple sclerosis, Guillain-Barr syndrome, chronic inflammatory demyelinating polyneuropathy, radiation plexopathy), edema (pontine tumors), toxins (rattlesnake envenomation and clozapine administration), and ischemia, but not usually by nerve compression without the above changes
Urgency to pass stool is also present
A common mistake is assigning separate Z codes per vaccine
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Cyanocobalamin dosing in children
