47 year old male with choreoathetoid movements
NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT Thanks to Sanjana for her inputs - CHEIF COMPLAINTS: blog link -https://96sanjanapalakodeti.blogspot.com/2022/09/47m-with-uncontrolled-hand-movements.html HISTORY OF PRESENT ILLNESS: WEAKNESS OF LIMBS a. Weakness of all 4 limbs present b. Onset -insidious c. Duration from 2 years , gradually increased d. Severity – paresis e. Progresion – simultaneous involvement of all 4 limbs f. 1. Upper limbs i) Proximal – no diificulty in combing the hair, taking the food to the mouth ii) Distal – no difficulty in buttoning the shir