Episode Chapters
- Reader Question - Tinnitus15:02Paper Chase #1 | Hysteroscopic vs Laparoscopic Sterilization5:46Thyroid Nodules and CancerFree Chapter24:01Parkinson’s Disease, Part 116:30Paper Chase #2 | Incentives for Smoking Cessation4:27Parkinson’s Disease, Part 220:35TIDBSI: Herpetic Gingivostomatitis11:48Paper Chase #3 | Breast Cancer Mortality4:57Elder Abuse19:31Chest Pain in the Office28:28Paper Chase #4 | Opioid vs Non Opioid Analgesia for Acute Extremity Pain4:16Don’t Put This in My Chart, But...16:12Paper Chase #5 | Management of Obesity Outcomes With or Without Gastric Bypass4:22The Summary17:16
Parkinson’s Disease (PD) is a progressive movement disorder characterized by bradykinesia, cogwheel rigidity, tremor, and impaired balance. The diagnosis is a clinical one, based on history and physical alone. Symptoms often begin unilaterally and are gradual in onset and progression. Non-motor features of PD that can be debilitating to patients are autonomic dysfunction, such as orthostatic hypotension, constipation, and erectile dysfunction; sleep disturbances like REM sleep behavioral disorder and insomnia; and mood disorders such as anxiety and depression. While there are several medications available to treat the symptoms of PD, the mainstay of treatment is levodopa, which is paired with carbidopa in a combination pill. The timing of doses is critical to the drug’s success, and should be taken into account if a patient with PD is hospitalized.