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Parkinson's disease - University of Minnesota Continuing Medical ...

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Vignette #3<br />

Initial Symptoms<br />

Dementia<br />

Years Later<br />

Parkinsonism<br />

• 72 yo w/ 4 yr h/o parkinsonism<br />

• Present meds:<br />

– Sinemet 25/250 TID<br />

– Selegiline 5 QAM<br />

• Issues:<br />

– Falls/Gait instability<br />

– Hallucinations to some meds<br />

Parkinsonism<br />

Parkinsonism<br />

Dementia<br />

Dementia<br />

TIME (years)<br />

Dementia<br />

Alz<br />

Disease<br />

Lewy<br />

Body<br />

Dementia<br />

PD<br />

Dementia<br />

Lewy Body Dementia<br />

Lewy Body Dementia<br />

Major Criteria<br />

Parkinsonism<br />

Fluctuations<br />

Vis Hallucinations<br />

Minor Criteria<br />

Delusions<br />

Falls<br />

Anti-DA sensitivity<br />

If 3 or > features 75% it is LBD<br />

LBD Drawings<br />

Alzheimer Drawings

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