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69 YO retired patient, . (handwriting becomes smaller and untidy, oral…
69 YO retired patient
some difficulty looking upward
vertical saccadiac palsey
b
.
gradual slowness while tapping right thumb and index
Bradykinesia
doesnt swing arms while walking
walks with a shuffle
Parkinsonian gait
face appears wooden and stiff
Hypomimia
difficulty balancing on one leg
stooped posture
postural changes
.
handwriting becomes smaller and untidy
Microphagia
oral hygiene deteriorated (plaque on all teeth)
difficulty managing and controlling toothbrush
.
.
MRI shows mild atrophy of cerebral hemisphere
.
Impairement of extrapyramidal tracts controlling complex body movements
Depletion of dopamine stores
destruction of dopaminergic neuronal cells in the subsantia-nigra in the basal ganglia
.
difficulty shaving
.
difficulty buttoning clothes
.
difficulty picking up cards
.
parkinson's disease
early manifestation of parkinson's
Decreased fine motor activity
.