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Maynard Marion Case Study Essay

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Maynard Marion was seen in followup for Lewy body dementia. He states he can still stand and walk without losing his balance with respect to his Parkinsonian symptoms from Lewy body disease. He is still somewhat slow in walking, but can still do all of his usual daily activities. He uses a cane or roller walker to make sure he does not lose his balance or fall. He continues on Sinemet 25/100 three times daily to help with Parkinson's and Lewy body disease. He is on Aricept 10 mg twice daily to help slow progression of Lewy body disease as well as reduce hallucinations, which he was previously having with Lewy body disease. His daughter states that the patient started having hallucinations again, especially at night. She states that these will awaken him at night. He states he is not sure, if he is dreaming, …show more content…
He converses appropriately at a moderately complex level. He continues to have short-term memory difficulties, but unchanged from when last seen by me. He continues to have only a minimal masked appearance of his face at rest. His face continues symmetric at rest with good strength though out his face. He has good strength of his extremities. He has minimal to mild cogwheel rigidity to his right wrist and only minimal, if any cogwheel rigidity of the left wrist. He has an occasional resting tremor of his hand, somewhat more so of his right hand than his left hand. This tremor is also [_2:43___] using his hands. He has only mild bradykinesia of movement of his extremities. He has mild bradykinesia of standing, but is still able to stand on his own. Once standing, he walks with a mildly broadened base of his gait due to difficulties with his left knee. He does not shuffle his feet when walking. He has a mildly festinating nature of his gait, but is able to walk, including turning, without losing his balance. He has only minimal en bloc turning, he has only minimal decreased postural stability

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