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Parkinsonism

  Do not continue until you have completed this page   Mr James Short (age 63) comes to see you as a new patient, andsays that his last doctor diagnosed Parkinsonism: What clinical features might you expect to find on examininghim? Tremor resting Rigidity lead pipe cog wheel Bradykinesia He has a moderate tremor affecting […]

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Parkinsonism

  Do not continue until you have completed this page   After a year taking Amantadine his parkinsonism worsens, andhis mobility is poor: he is finding it difficult to get to workon the bus. What other drug treatment might you consider? Are there any problems with these drugs? How might you overcome them? Brad Cheek:

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crying baby scenario 1

Do not continue until you have completed this page A mother comes to you for help. She has a 8 month old baby and he is always crying. Mum is finding it difficult for him to settle. She is also finding feeding difficult. She seems to be generally worried about everything. How would you proceed

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crying baby scenario 2

Do not continue until you have completed this page Same scenario – A mother comes for help for her 8 month old child. In addition, you know that she has a child aged 6 who has generalised development delay. Mum had always known her child had had problems long before diagnosis made. Since the birth

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clingy child – version 2

Do not continue until you have completed this page Same situation – A mum is worried about her 3 year old’s clingy behaviour. You know that the child’s father died 10 months ago. He was involved in a RTA on his way to work. The child has started wetting during the day having previously been

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clingy child – version 3

Do not continue until you have completed this page Same scenario – A mother, worried about her 3 year old, has recently given up working, she presents lethargic and low. She said that the nursery have commented on her son’s cleanliness and appearance. They say he is withdrawn for his age and they are worried.

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clingy child – version 4

Do not continue until you have completed this page Same scenario – A mother, worried about her 3 year old, has recently given up working, she presents lethargic and low. She said that the nursery have commented on her son’s cleanliness and appearance. They say he is withdrawn for his age and they are worried.

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richard and tantrums (answers)

Do not continue until you have completed this page Richard is just over 2 1/2 years old, and his motherasks for your help because she finds his “temper tantrums”increasingly difficult to handle. His behaviour is now so troublesome, that theentire family is affected. For example, they can no longer go out together for ameal. Richard

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