A male aged 65 comes to the ER, he has been having difficulty walking and has fallen several times over the last several weeks. He tends to fall when he changes direction. He has also having issues with his coordination in general, his hands shake and he has trouble using his hands to do simple activities. An evaluation shows he had resting tremors in the hands, they stop when he purposefully uses them. He has a shuffling gait and trouble changing directions, is ridged and his arms show a jerky movement when he walks. What is your diagnosis and how did you decide it? The clinical presentations is do to what pathologic changes? What possible biochemical changes caused his pathological changes?
A male aged 65 comes to the ER, he has been having difficulty walking and has fallen several times over the last several weeks. He tends to fall when he changes direction. He has also having issues with his coordination in general, his hands shake and he has trouble using his hands to do simple activities. An evaluation shows he had resting tremors in the hands, they stop when he purposefully uses them. He has a shuffling gait and trouble changing directions, is ridged and his arms show a jerky movement when he walks. What is your diagnosis and how did you decide it? The clinical presentations is do to what pathologic changes? What possible biochemical changes caused his pathological changes?
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