27th August 2020

A 42-year man visits his GP because he has noticed that he has become more irritable and forgetful

A 42-year man visits his GP because he has noticed that he has become more irritable and forgetful at work and at home with his children. He has also noticed that he has started to have muscle twitches and finds himself tripping over nothing. His wife mentions that he has started to care less about his appearance and hygiene and is quick to anger if she mentions it. When you ask the patient to stick his tongue out, he is unable to keep it still. He is not experiencing any palpitations, weight loss, vomiting. He has no past medical history and currently takes no medications. Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.