A 65-year-old man presents with a 6-month history of gradually progressive tremor, stiffness, and slowness of movement. He reports difficulty initiating movements, frequent shuffling steps, and subtle changes in handwriting over the past few months. His family noticed that he seems slower in daily activities, but he denies memory problems. On examination, he has generalized rigidity, reduced facial expression, bradykinesia, and a slightly shuffling gait. Notably, his symptoms started shortly after he was prescribed metoclopramide for recurrent nausea and vomiting, which he has been taking intermittently over the last 6 months. Which of the following clinical features would help differentiate idiopathic Parkinson’s disease from drug-induced Parkinsonism?
Intellect Medicos
A 65-year-old man presents with a 6-month history of gradually progressive tremor, stiffness, and slowness of movement. He reports difficulty initiating movements, frequent shuffling steps, and subtle changes in handwriting over the past few months. His family noticed that he seems slower in daily activities, but he denies memory problems. On examination, he has generalized rigidity, reduced facial expression, bradykinesia, and a slightly shuffling gait. Notably, his symptoms started shortly after he was prescribed metoclopramide for recurrent nausea and vomiting, which he has been taking intermittently over the last 6 months.
Which of the following clinical features would help differentiate idiopathic Parkinson’s disease from drug-induced Parkinsonism?
2 months ago | [YT] | 67