Parkinson's Disease Flashcards

1
Q

what is parkinson’s disease defined as?

A
  • defined as a complex, progressive and neurodegenerative condition
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2
Q

what is parkinson’s disease diagnosed from?

A
  • clinical history
  • examination
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3
Q

what is the incidence of parkinson’s disease?

A
  • 160 people per 100,000
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4
Q

what age does Parkinson’s disease effect the most?

A
  • affects elderly people more often
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5
Q

what gender does Parkinson’s disease affect more?

A
  • males
  • male: female, 3:2
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6
Q

what percentage of Parkinson’s disease patients have family history of PD?

A
  • 20%
  • predisposition but not genetic condition
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7
Q

what are some risk factors of Parkinson’s disease? (6)

A
  • pesticide exposure
  • prior head injury
  • beta blocker use
  • rural living
  • agricultural occupation
  • well- water drinking
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8
Q

what is bradykinesia?

A
  • slowness of initiation of voluntary movement with progressive reduction in speed and amplitude of repetitive action
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9
Q

what is rigidity?

A
  • neurology driven muscle stiffness
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10
Q

what is dyskinesia?

A
  • uncontrolled involuntary movement
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11
Q

what are the motor signs and symptoms? (14)

A
  • bradykinesia
  • rigidity
  • tremor
  • dyskensia
  • loss of trunk rotation
  • mask- like expression
  • micrography
  • postural instability
  • festination and freezing of gait
  • constipation
  • monotonous, quiet voice
  • dysphagia
  • reduced cough reflex
  • drooling
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12
Q

describe bradykinesia

A
  • slowness of movement
  • initiation of movement
  • freezing
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13
Q

what is small, shuffling steps mean?

A
  • festinating gait
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14
Q

what is small handwriting called?

A
  • micrography
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15
Q

what does rigidity affect? (2)

A
  • antagonists and agonists
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16
Q

what is rigidity not dependent on?

A
  • not velocity dependent
17
Q

what are the two types of rigidity?

A
  • cogwheel
  • lead pipe
18
Q

what is cogwheel?

A
  • when someone has a tremor, there is a giving out of the limb (stop + start)
19
Q

what is lead pipe?

A
  • solid resistance through range in both directions
20
Q

what does rigidity relate to? (3)

A
  • postural instability
  • loss of balance
  • pain, stiffness and muscle ache
21
Q

what is parkinson’s commonly associated with?

A
  • resting tremor