case presentation of Parkinson's disease

Case presentation of Parkinson's disease.

1. CASE PRESENTATION ON PARKINSONISM SUBMITTED BY A.REDDY SEKHAR PHARM D 2nd YEAR 16CN1T0001

2. PATIENT PROFILE Patient name : CH.Padmavathi Age : 36years Sex : Female Weight : 55kgs IP no : IP17-1-5 D.O.A : 02/10/2017 D.O.D : 04/10/2017 Department : FMW

3. Chief complaints : Abnormal movements of upper and lower limbs since 1 year. Difficulty in walking since 6 months, Weakness f right lower limb, Aphasia,incontinance of urine. Past medical history : Not known Past medication history : Not known

4. Social history: Diet : Non veg Alcoholic : No Smoking : No Bowel and bladder :Normal Family history : Not known family history. Drug /food allergy : Not known allergies found.

5. Physical examination: Vital signs : Temperature : 98 F PR : 78bpm RR : 20cpm BP : 130/80 mm of Hg Systemic examination: CVS : Normal CNS : Abnormal RS : Decreased Dermatology : Normal

6. DRUG DISCUSSION: 1. Ceftrioxone MOA: interferes with the synthesis of bacterial cell wall Adrs : hypoprothrombinaemia , bleedindg and haemolysis . 2.Pantoprazole MOA: proton pump inhibiter Adrs : Nausea, headach,loose stools,abdominal pain. 3.Ipratropium bromide MOA : Inhalational corticosteroid Adrs :Oral candidiasis , skin bruising. 4 .Rasagiline MOA:MAO-b inhibitor(increases the amount dopamine). Adrs : Dry mouth,constipation and headach . 5.levidopa+carbidopa MOA: Dopamine precursor+peripheral decorboxylase inhibitor Adrs : Dyskinesia .

7. Discussion:

8. Aetiology : Genetic. Head trauma. Cerebral anoxia. Oxidative sress . Toxins- CO,Mg,MPTP . Symptoms: Rigidity Tremors, Akinesia Bradykinesia , Hypokinesia , Dementia

9. S.O.A.P NOTES Subjective evaluation: Weakness of right upper and lower limb,aphasia,incontinance of urine. Objective evaluation : EEG and CT Scanning Temprature:98f RR:26 beats/min . Assessment: Drug induced parkinsonism . Plan: Tab . Rasagiline -increases the amount dopamine levels, Tab.levidopa+carbidopa : Dopamine precursor+peripheral decorboxylase inhibitor this increases the dopamine levels by stimulations of dopamine precutsor .

10. THANK YOU