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Summary Parkinsons disease

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A summary of Parkinson's disease and the different management options

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  • August 22, 2021
  • 3
  • 2021/2022
  • Summary
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bassantabdelfadeel
Parkinson’s

Definition:
 A degenerative neurological disorder characterised by movement problems, that
occurs in about 1 in every 500 people usually over age of 50

Causes:
 Dopamine deficit (dopamine is needed for movement)
 Brain cells producing dopamine loses the ability to produce dopamine
 Not sure why do neurons lose the ability to produce dopamine; genetic component,
environmental (toxins or vial infection).

Clinical signs to look for:
 Tremor
 Muscle stiffness
 Slow movements
 Changed gait- shuffling steps, freezing of gait which all leads to falling sometimes
 Stooped posture
 Balance problems
 Dexterity problems
 Affected QoL- will not be able to button up shirt, tie shoelaces, cook etc

Symptoms: develop slowly over years
 Motor symp:
o Tremor
o Muscle stiffness
o Slow movements
o Changed gait- shuffling steps, freezing of gait which all leads to falling
sometimes
o Stooped posture
o Frozen shoulder, pain in hand or pain down the leg- usual presentation in
younger people

 Non-motor symp:
o Sweating
o Anxiety
o Low mood
o Constipation
o Panic attacks

Diagnosis:
 based on signs and symptoms person present with
 no laboratory test can diagnose
 brain scans used to rule other diseases with similar symptoms


Treatment: done via a MDT as no cure. Treatment control symptoms and slows progression.

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