You ar engaging in producing a diagnosis for a patient who presents with Parkinsonism and problems regulating blood pressure and heart rate, and swallowing. Your most probable diagnosis is:

a. Parkinson's disease

b. ALS

c. Ischemic stroke in the midbrain

d. Multiple System Atrophy

d. Multiple System Atrophy

Explanation:

Multiple System Atrophy is a severe neurodegenerative disease characterized by progressive autonomic failure with characteristics similar to Parkindon's disease. It is the third cause of Parkinsonism, affecting 7.8% of those over 40 years of age, with rapid evolution and with an average of 6 to 10 years of life after the onset of symptoms. In addition to experiencing symptoms similar to Parkindon's disease such as tremors and muscle failure, multiple system atrophy also has unsteady blood pressure, difficulty speaking, bladder control problems, dysregulated heart rate, and other symptoms.