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afya
Parkinson bits
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> 0.2% prevalence inc with age often Sx are gradual in onset, may be unilateral initially plantars are down going soft monotonic voice and dysphagia cogwheel rigidity (combination of tremor and rigidity) usually asymmetrical poor arm swing on walking (balance is well preserved and falls should suspect different diagnosis) postural instability is late Sx, orthostatic hypotension is common tremor worsens with stress and tiredness moving around in bed and difficulty turning are common early on (Dementia is NOT a classic Sx unless lewy body late on) anxiety and depressino are common and worrisome to pt apathy and anxiety are common hallucinations (visual) are common - auditory less so sleep problems are common esp xs daytime sleepiness bladder dysfunction, constipation and erectile dysfunction are all common (hypersexuality can also occur) Pain, xs sweating and drooling are common weight loss may occur seborrhoiec dermatitis note Sx other than classic triad may be more concerning to pt and need other Rx
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Parkinsons