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17 Cards in this Set

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uncomfortable, creepy/crawly sensation in the legs at night

RLS

what worsens and relieves the RLS symptoms?

caffeine worsens the restlessness



moving the legs, getting up helps it

Does it always occur when the patient is awake?

no, sometimes the partner will bring the patient in for kicking over and over

treatment for RLS is

dopamine agonists like pramipexole or ropinirole

family hx


age 30 to 50


choreiform movements


dementia


behavior changes like moodiness, antisocial

HD

what starts the movement disorder of HD?

just fidgetiness or restlessness

what does it evovle into?

dystonic posturing, akinesia, rigidity

what is the dx test for HD?

genetic test showing CAG repeats on chr 4

sensitivity of genetic testing

99%

tx for HD is

just supportivebasically

what do we give for the dyskinesia?

tetrabenazine

what about the psychosis?

quetiapine, haldol, or three antipsychotics at once

what two areas of the brain undergo atrophy i HD?

caudate and putamen

patient that shows repetitive grunting, noises, sniffing, blinking, frowning etc.



also shows OCD traits

Tourette disorder

any specific dx test for Tourette?

no

treatment options for Tourette disorder?

fluphenazine


Haldol


clonazepam


pimozide

another common co-morbidity with Tourette disorder is

ADHD


so these kids usually take methylphenidate as well