Neurology | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.

Neurology

You can view up to 4 cases without signing up

A 64-year old architect complains of left handed tremor at rest, which interferes with his writing and drawing which started 3 years ago. He also notes a stooped posture, and slight unsteadiness on turning. He remains independent in all activities of daily living. Physical and Neurological Examination: Flat facies, monotonous voice, a rest tremor of the left arm and leg, mild rigidity in all limbs and impaired rapid alternating movements of the left limbs.

What is the likely diagnosis and prognosis?

How are you going to managed the patients alertness?

Similar cases

60 yo male presents with a hx of parkinson c/o of abdominal pain. What is the dx, ddx and treatment?

Micrographia of Parkinson's patient: note small size gets smaller with more writing. Improved on Requip 0.25 mg qHS.

25yo male Dx'd with bipolar disorder, prescribed 30mg Cymbalta. Pt reports on day 5: tightness in chest, extreme muscle rigidity in left arm, and hand tremors.

What would your first move be? Do you believe this to be a side effect from the Cymbalta?

70 yo woman complains of gait difficulties. 5 years ago, she started to develop episodes in which she started uncontrollably walking faster and faster to the point where she was unable to stop herself.

What is the diagnosis?