Julia,+Melea+NCS+7

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 * **PMH **
 * **CAD **
 * **Total hip replacement in 2001 ** || **VOCAB/ACRONYMS **


 * ROM- range of motion **
 * CAD- coronary artery disease **
 * BP-blood pressure **
 * HR- heart rate ** ||  ||
 * **OBSERVATIONS **
 * **Trips often **
 * **Overweight **
 * **Trembling in right hand **
 * **Decreased ROM, feels “tight all over” **
 * **Alert and oriented **
 * **Vital signs are normal **
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Sensation is normal **
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Strength is normal **
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Reflexes are brisk but equal on both sides ** ||^  ||   ||
 * ^  || **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">TESTS ORDERED AND RESULTS **
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">-blood tests to see if there is an abnormal thyroid hormone levels of liver damage **
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">- PET scan to see if there are low levels of dopamine ** ||  ||
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">SYMPTOMS/COMPLAINTS **

**<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Parkinson’s disease ** ||  || <span style="display: block; font-family: 'times new roman','new york',times,serif; font-size: 12pt;">
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Trouble getting dressed **
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Trouble cooking and eating **
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Difficulty walking **
 * **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">Hands shakes ** || **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">DIAGNOSIS **
 * ^  || **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">RATIONALE FOR DIAGNOSIS **
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">- Tests are given to rule out other diseases. No test can be given to diagnose Parkinson’s. All the known symptoms of patient are known for being Parkinson’s disease symptoms. ** ||  ||
 * __<span style="font-family: 'Centaur','serif'; font-size: 11pt;">NAME OF DISEASE __**
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">Parkinson’s disease is a condition that affects your basal ganglia because of low dopamine levels. It affects movement. **


 * __<span style="font-family: 'Centaur','serif'; font-size: 11pt;">SIGNS AND SYMPTOMS OF DISEASE __**
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">- Shaky, difficulty walking, trembling, decreased ROM, tripping often, trouble with day to day activities, bad posture, stiffness. **


 * __<span style="font-family: 'Centaur','serif'; font-size: 11pt;">HOW DISEASE IS DIAGNOSED (WHAT DIAGNOSTIC TESTS AND WHAT THEY WOULD SHOW) __**
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">- Neurological exam and tests to rule out other disease ** <span style="display: block; font-family: 'times new roman','new york',times,serif; font-size: 12pt;">
 * __<span style="font-family: 'Centaur','serif'; font-size: 11pt;">TREATMENT __**
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">- The doctor will wait to prescribe treatment with drugs until your symptoms begin to interfere with your daily activities. One of the prescriptions is called levodopa. Exercise, physical therapy, and occupational therapy are also used for treatment. There is also a study on gene therapy that will help with the abnormal tremors of the body. **


 * __<span style="font-family: 'Centaur','serif'; font-size: 11pt;">PROGNOSIS AND COURSE OF DISEASE __**
 * <span style="font-family: 'Centaur','serif'; font-size: 11pt;">Parkinson’s disease is not considered to be a fatal disease by itself but it progresses with time. The average life expectancy of a PD patient is generally lower than for people who do not have the disease. In the late stages of the disease, PD may cause complications such as choking, pneumonia, and falls that can lead to death. The progression of symptoms for PD may also take up to 20 years. **

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