Clinical Logs

   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. CHIEF COMPLAINTS: A 47 year old male presented with chief complaints of: Involuntary movements in hands and feet since 3-4 yrs Inability to talk properly since 3 years Difficulty in swallowing since 2 years Urinary incontinence HISTORY OF PRESENTING ILLNESS: CRANIAL NERVE TEST RIGHT LEFT I Sense of smell i)                Coffee   +   + II i) Visual acuity – Rosenbaum Chart 20/20 20/20 III, IV, VI i)                Extra-ocular movements