She also had one episode of shortness of breath following a hot shower. Clear to auscultation and percussion bilaterally. Soft, nontender, nondistended, normal bowel sounds. No rashes or lesions. No cyanosis, clubbing, or edema.
Proprioception is intact in the distal extremeties.
There is, however, a loss of body position sense bilaterally. Exam confounded by weakness and spasticity. Decreased rate and rhythm of RAM's.