Tics
Tics are very common and usually benign; patients with Tourette’s syndrome have exaggerated, complex tics, vocal tics, compulsive behavior and often have coprolalia (involuntary cursing).(3,4) The large repertoire of tics and the combination of motor and vocal tics distinguish Tourette's syndrome from ordinary tics. This patient had severe, multifocal, simple and complex tics and involuntarily shouted obscenities. He compulsively picked at his nose, enough to cause skin breakdown.
References
1. Campbell WW. DeJong's the neurologic examination, 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013. 2. Campbell WW. Clinical signs in neurology : a compendium. Philadelphia: Wolters Kluwer Health, 2016. 3. Hallett M. Tourette Syndrome: Update. Brain Dev. 2015 Aug;37(7):651-5. 4. Serajee FJ, Mahbubul Huq AH. Advances in Tourette syndrome: diagnoses and treatment. Pediatr Clin North Am. 2015 Jun;62(3):687-701.