Clin med 29

Idk

100

Excessive and abnormal movements; chorea, athetosis; hemiballism (sudden movement of an extremity) 

Hyperkinetic disorders (BG)

200

Control movement through influence on the cortex; assist in the regulation and execution of voluntary movement and the learning of motor skills; help prepare for movement 

Purpose of BG 

300

Progressive and degenerative; loss of dopamine from the SUBSTANTIA NIGRA; can be early or later onset 

Parkinson's disease 

400

Loss of movement accuracy; impaired voluntary movement; decreased posturL STABILITY with attempts to move 

EX: resting tremor 

Causes of Basal ganglia damage 

500

Type of Parkinson: 

Medications; microvascular strokes right around BG; dopamine will not help and will have no effect on s/s

Parkinsonism (acquired PD)

What

100

Two major disorders of the basal ganglia 

1. hyperkinetic disorders 

2. hypokinetic disorders 

200

Caudate, putamen, globus pallidus, amygdala, substantia nigra 

Basal ganglia 

300

Little steps because momentum is building and feet are not moving fast enough 

Festinating gait 

400

Reduced facial expression

Hypomimia 

500

Type of Parkinson: 

Multisystem atrophy; hyper/hypokinetic symptoms; does not respond to dopamine 

Parkinson's plus 

To

100

s/s of: resting tremor; rigidity; bradykinesia; postural instability 

Parkinson's disease 

200

Loss of how much dopamine before symptoms of Parkinson's occurs? 

70% 

300

Slow movement; full amplitude 

Bradykinesia 

400

Slow thinki8ng/processing 

Bradyphrenia 

500

4 categories of medications for PD 

1. Levodopa/carbidopa 

2. COMT inhibitors

3. Dopamine agonists

4. MAO B inhibitors 

Call

100

Early onset of parkinson's is at what age? 

20-45 yo

200

Control movement through influence on the cortex; assist in the regulation and execution of voluntary movement and the learning of motor skills; help prepare for movement 

Purpose of the BG 

300

No movement 

Akinesia 

400

Small handwriting 

Micrographia 

500

A common side effect of all 4 classes of PD medications 

Low BP

These

100

Late onset of parkinsons is at what age? 

50+ yo

200

Lack or slowness of movement; athetosis 

Hypokinetic disorders (BG)

300

Low amplitude movement 

Hypokinesia 

400

Type of Parkinson: 

Not related to anything; must do dopamine trial to see if they have true PD

Idiopathic PD 

500

How would we know a patient taking Levodopa/carbidopa has become adapted to the medication? 

Increase of resting tremor before medication times.