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Parkinson’s Disease Case StudyParkinson’s Disease Case StudyLakia T. BlackUniversity of Missouri-St. Louis
Parkinson’s Disease Case StudyMr. Smith is 63 years old and receives home care by an occupational therapist twice a week. His therapist is currently working with him on maintaining joint flexibility and balance. He demonstrates resting tremor, so his therapist is also working on adaptive techniques so He cancontinue using his hands to write, use the computer, and cook simple meals. His wife assists with his mobility and walks slowly beside him, holding his arm. Sometimes she needs to helphim open his prescription bottles so that he can take his medicine, a combination of levodopa and carbidopa, pantoprazole, Lisinopril, and Simvistatin. He presents to the office today with increasing tremors and more difficulty in performing ADLs. He has a PMH: GERD, HTN, and Hypercholesterolemia. He has an allergy to Penicillin. His social history consists of retired farmer, 2PPD smoker, and he has been married for 30 years. Physical Assessment: Middle aged overweight white male in no acute distress. He is well-groomed, clean shaven, speaking in a monotone voice. His VS are as follows: 98,6F, 70, 18, 128/80. Ht 5’10” and Wt 200lbs. His Skin is warm and dry and no bruising noted. HEENT: PERRLA, speaking in short sentences, moist mucous membranes. His neck has no masses, bruits, or JVD. Thyroid not enlarged. Lungs are CTA anteriorly and posteriorly. Heart is regular without murmurs and no edema. His abdomen is soft, non-tender, positive bowel sounds in all four quadrants. Musculoskeletal—resting tremors L>R, mild rigidity, poor postural stability, deep tendon reflexes 2+. Bilateral feet with normal sensation and vibration.