A 17 year old came with tremors

 A 17 year came to OPD with chief complaints of tremors in the right leg since 2 and half months

HOPI 

Patient was apparently asymptomatic 2 and half months back.he then developed tremors which was sudden in onset and continuous .

Tremors were seen when he touches the sole to the ground and disappears when foot is lifted from ground.tremors were also relieved during sleep .

He also complained of bilateral leg pain when he walks for more distance .

He also has complaints of headache since 5 days.

PAST HISTORY

N/K/C/O-DM ,HTN ,asthma ,TB ,CAD,CVA

FAMILY HISTORY

Insignificant

PERSONAL HISTORY

Mixed- diet

Appetite -normal

Bowel and bladder movements -regular

Sleep-adequate

No addictions

No allergic history 

GENERAL EXAMINATION

Patient is examined in a well lit room 

Moderately built and well nourished

No Pallor 

No icterus

No cyanosis

No clubbing of fingers

No lymphadenopathy

No pedal edema

VITAL SIGNS

Temp-afebrile

Pulse rate -74bpm 

Resp rate -16cpm 

Bp-110/70mmhg


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