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Case
2.
A
45 year old carpenter came to you complaining of a "trembling
right hand". He related that his right hand was
all right when he didn't do anything, but the moment he
tried to hammer a nail his right hand "shook like crazy".
A neurological examination revealed the following:
- an
ataxic gait, often tetering to the right;
- swaying
back and forth when standing and the musculature on his
right side was hypotonic;
- inability
to pronate and supinate his right hand;
- he
missed his nose when attempting to touch it with his right
index finger;
- prominent
right intentional tremor.
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