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13 Cards in this Set
- Front
- Back
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__ is a clinical syndrome characterized by tremor, slow movements, and increased tone.
-Parkinson's disease -parkinsonism -upper motor neuron lesion |
parkinsonism
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parkonsonism may also be seen in what other conditions, all but 1.
-parkinson's disease -lower motor neuron disease -anti-dopaminergic drugs -Wilson's disease |
not lower motor neuron disease
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what are the classical features of PD?
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pill rolling tremor
increased tone (lead-pipe, or cogwheel rigidity) bradykinesia |
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when is the tremor of PD most noticeable?
-rest -motion |
rest, improves with motion or sleep
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what are other common causes of tremor?
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etoh withdrawal
benign tremor cerebellar disorder (intention tremor) thyrotoxicosis |
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A PD pt may also show what other MS difficulties?
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difficulty initiating movement
difficulty in performing rapidly alternating movements inc. tone may become more prominent with movements of the opposite limb mask-like facies with reduction in facial expression and blinking |
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what is the prevalence of PD in the general population over 65 years old?
-0.5% 1.0% 5.0% |
0.5 %
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what are rare dx/dx of PD?
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-postural hypotension (multi-system atrophy, Shy-Drager syndrome)
-Impaired vertical gaze (progressive supranuclear palsy) -dystonia/kayser-fleisher rings (wilson's disease) |
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what in the home might cause tremor?
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C02 poisoning
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what are 2 common s/e of L-dopa?
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confusion
dyskinesia |
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what is NOT included in a festinant gait?
-reduced arm swing -mask-like facies -pill rolling tremor -+/- dyskinesias freezing |
does not include pill rolling tremor
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what type of drugs can cause a PD like tremor?
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anti-dopaminergic drugs such as neuroleptics (haldol,prolixin, thorazine, mellaril)
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mask-like facies, reduced arm swing, and +/- dyskinesias/freezing are called __ gait.
-parkinsonian gait -festinant gait -tremor's gain |
festinant gait
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