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Thank you. not necessarily reflect the views of our employers. Enjoy the show. The chief complaint is frequent stumbling.

Frequent stumbling.

Okay.

Shubunky, what would you do with this chief concern?

It may be a little different than some of the other BMRs.

I like to start with just as few words as possible and think about how we would begin to respond

and think about our approach to this chief concern.

So frequent stumbling.

First of all, with respect to stumbling, if the patient comes to me, I would immediately

notice their gait.

General physical examination would end up happening much before I started in the history.

So over there, I would notice what kind of gait it is and how old the patient is also,

because more often than not, it is their eyesight leading to frequent stumbling

and they have a lot of a disability. So if I put those practical aspects outside, there could be

a neuropathy which is a leading to a frequent astumbling, like a peripheral lesion. In terms of a central

lesion, it can be a cerebral lesion. Frequent stumbling can be because of some muscular contracture, which has already taken place.

So I would like to ask for a past history for that.

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