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11 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Shy Dragger syndrome? |
Parkinson's disease + Orthostatic |
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Diagnostic test of Parkinson's? |
No diagnostic test Only clinical ( Bradykinesia plus one other symptom) |
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Treatment for Parkinson's (imp) |
Mild <60yr (Benzotropine) >60yr: 1. Amentadine (Inc Ach) Severe disease: levopoda+ carbidopa Ropinerole or Pramipexole ( dopamine agonist) *Bromocriptine has more side effects Symptoms after above drugs: add tolcapone/ entacapone (comt inhib) Selegiline: can be use alone or with others. |
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Side effects of leodopa+carbi |
On/off phenomenon |
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Ropinerole / Pramipexole |
Less side effects But less potent (That's why levopoda is use) |
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Parkinsonism |
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Parkinson's symptoms |
Tremors ( resting, pillrolling tremors) Rigidity (cog wheel, lead pipe) Akinesia (Bradykinesia) Postural (stopped posture, problem with balance) |
TRAP |
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Deep brain stimulation |
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Summary |
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Benign Essential tremor? |
Both resting and intention tremors Treatment: Propanol Get worse with caffeine, Beta agonist |
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Restless leg syndrome? |
Discomfort to control legs at night Treatment: Ropinerole/Pramipexole |
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