Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 54 year old female. Recently while in bed my legs have started to twitch/jerk and my hands are having trouble with fine motor skills. When I try to turn book pages or pick up something small, my fingers will shake and keep trying to pick at the page but nothing happens. I have Parkinson s in my family history. Thank you.
[|AI|]  Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care