Key facts and checkpoints

• Parkinson's disease is a most common and disabling chronic neurological disorder.

• The prevalence in Australia is 100-120 per 100 000. 5

• The incidence rises sharply over 70 years of age. 5

• The classic triad of Parkinson's disease (Fig 29.2) is:

o tremor o rigidity o bradykinesia (poverty of movement)

• Hemi-parkinsonism can occur; all the signs are confined to one side and thus must be differentiated from hemiparesis. In fact most Parkinson's disease starts unilaterally.

• Always consider drug-induced parkinsonism. The usual drugs are phenothiazines, butyrophenones and reserpine. Tremor is uncommon but rigidity and bradykinesia may be severe.

Refer to Table 29.4 .

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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