NS 700

Amyotrophic Lateral Sclerosis Ns700 Thomas Jefferson University A 67-year-old male farmer notes 2 years of stiffness diagnosed as arthritis affecting his left arm and leg. He denies cramps or muscle twitching. His exam is characterized by an expressionless face with reduced eyeblinking, a pill-rolling tremor at rest and rigidity with cogwheeling on the left side greater than on the right. He has decreased arm swing on walking and tends to topple backwards when his trunk is pulled. What is the...