Question
what is your diagnosis and how would you proceed?
O learn.umuc.edu/d21/le/246896/discussions/threads/10865305/View BIOL 164 6380 Introduct.. Norma Martinez Course Home Content Discussions Assignments My Tools ResourcesClasslist Help v Discussions ListView TopicView Thread * Settings Help | Search Case Study # 1 Case Study # 1 James Cummings posted Aug 19, 2017 3:36 PM Subscribe Due Saturday, 9 SEP 2017. Please submit your case study discussion in your assignment folder r-old woman presenting today with a chief complaint of a hand tremor that has worsened over the past three years. The tremor occurs has become messy and Case: Ms. Johnson is a 61-yea when she uses her hands for activities such as slicing vegetables, sewing, putting on her lipstick, or typing at her computer. Her handwriting sprawing and very difficult to read. She has worked for 23 years as an executive assistant as a result of her tremor and the associated difficu retirement She notes that on the rare occasion that she consumes alcohol, the tremor is somewhat improved Family history is positive for two grandparents who atso 'had the shakes" later in tife. She assumes wrong with me, too. atch. Today her BP is 120/62. Height is 5'6, weight 159 ibs On physica l examination, mental status, Medications include an antihypertensive, a statin, and an estrogen p cranial nerves, sensation, muscle streng th, tone, and deep tendon reflexes are all normal. There is a mildt remor bilaterally in both hands as she writes her name No at rest. There is no bradykinesia or rigidity noted. Voice is somewha t tremulous. There is a slight involuntary back-and-forth horizontal rotation of the head Lab data, including lipids, TSH and FBS are all within normal limits What is your diagnosis and how would you proceed? Reply to Thread
Explanation / Answer
The diagnosis is considered as parkinsons disease excluding all other disabilities.
Deep brain stimulation is often referred to people with advanced parkinsons disease who have unstable medication responses like levodopa.
Deep brain stimulation can stabilize medication fluctuations, reduce involuntary movements like dyskinesias,reduces tremor, reduces rigidity and improves slowing of movement.
