Parkinson - Parkinson's Initial symptom is pill-rolling...

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Parkinson's Initial symptom is pill-rolling tremor Key symptoms are tremor, bradykinesia (slow movement), rigidity and postural instability Also associated with dementia, cognitive, mood and behavior problems Average age of onset 60 year affects 1% people over 60 Findings on physical examination in patients with Parkinson's disease can include the following: Muscle rigidity Cogwheeling-type rigidity (often the initial presentation) Bradykinesia General slowing of movements Postural instability Assumption by patient of a stooped-forward posture Presence, usually, of a festinating gait pattern (stumbling forward); however, retropulsion also can occur Decreased arm swing during ambulatory activity Resting tremor Pill-rolling tremor, often bilateral but may be asymmetric, usually 3-5 Hz frequency Hands preferentially affected, but legs, chin, and head generally involved with more advanced disease Painful dystonia, usually occurring in the early morning
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Parkinson - Parkinson's Initial symptom is pill-rolling...

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