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Michael Topolino is a 52-year-old male who presents for his annual exam. His wife is with him during the exam process. When asking Mr. Topolino questions, you notice his hands tremor. According to Mrs. Topolino, Mike’s Parkinson’s symptoms have been increasing throughout the day. Mr. Topolino indicates that he is capable of his usual activities when he takes his carbidopa/levodopa. However, he has periods of poor movement a few hours after taking his Parkinson’s medications, which improve around 30 minutes after his next dose.
SCIENCE
HEALTH SCIENCE
NURSING

 
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