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Mr James Short (age 63) comes to see you as a new patient, andsays that his last doctor diagnosed Parkinsonism:

What clinical features might you expect to find on examininghim?

  1. Tremor
    • resting
  2. Rigidity
    • lead pipe
    • cog wheel
  3. Bradykinesia

He has a moderate tremor affecting his left arm (he isleft-handed)

  • What initial drug treatment might you consider?
    • Amantadine
    • Anticholinergics
    • L Dopa: Sinemet +, Madopar
  • What other help could you offer him?
    • Physio
    • Parkinsons Disease Society
    • Aids + Appliances
    • Driving
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