4 year old boy presents because of: -Progresively slurred speech -Difficult limb corrdination Physical exam finds: -Nystagmus -Slurred speech -Difficulty swallowing -Preserved language ability -Staggering gait -Normal muscle tone -3/5 strength distal muscle 4/5 proximal muscle -Absent patellar and anklle reflex 1. What condition does he likely have? 2. How is it inherited? What sort of disease is it? 3. Briefly what is the pathophys of it?

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Neurology is the branch of medicine that focuses on the study, diagnosis, and management of conditions affecting the nervous system.


1. 4 year old boy presents because of: -Progresively slurred speech -Difficult limb corrdination Physical exam finds: -Nystagmus -Slurred speech -Difficulty swallowing -Preserved language ability -Staggering gait -Normal muscle tone -3/5 strength distal muscle 4/5 proximal muscle -Absent patellar and anklle reflex 1. What condition does he likely have? 2. How is it inherited? What sort of disease is it? 3. Briefly what is the pathophys of it?