(Latest Update ) Primary
Care of Family I | Questions &
Answers | Grade A | 100% Correct -
Regis
Question:
parkinsons facts
Answer:
second most common neurogenerative disease behind alzheimers
general onset is after age 60
unknown cause (15% chance with first degree relative, typically before age 50)
Question:
parkinsons genetics
Answer:
progressive neuodegenerative disorder
,degeneration of doparminergic neurons in substantia nigra
development of lewy bodies in the residual dopaminergic neurons
decline in motor function and cognitive function
Question:
clinical presentation of parkinsons
Answer:
primary cardinal features
-bradykinesia
-rigidity
-tremor
-postural instability (later)
clinical dx
-2 symptoms present, symptom progression, sustained response to treatment
with levodopa
,Question:
bradykinesia in parkinsons
Answer:
masked facies
sit unnaturally statue like
stooped posture
drooling
monotonous speech
Question:
rigidity with parkinsons
Answer:
resistance noted during passive ROM
cogwheeling
more pronounced on limb with tremor
, pts may report stiffness/tightness
(mistaken for arthritis, bursitis, rotator cuff syndrome)
Question:
bradykinesia with parkinsons
Answer:
slowness of intiating movements
micrographia
reduced walking speed, reduced arm swing
difficulty switching from one motor program to another
reduced speed and amplitude of repetitive movement
Question:
tremor
Answer:
resting and asymmetric