Patient complains of Cognitive
impairment, gait distrubance, inability to swallow, spasticity in lower extremeties, visual disturbances, temp sensititivity x 3 yrs.
O: Patiens vitals are normal, appears irritated, figity and visibly upset. Neuro exam abnormal, MRI reveals lesions. EVP abnormal, LP abnormal, Every indication of MS is apparent.
A: UMA, MBS (Cuz I dont have any balls to call it as I see it!)
P: recheck in 6 months if no improvement.