Parkinsons,”Loss of dopamine results in unopposed AchTRAPS-Tremor (at rest)-Rigidity (cogwheel)-Akinesia (or bradykinesia)-Postural instability-Shuffling gait*May also have small-handwriting, opthommalplegiaOnset usually > 50Dx: Lewy bodiesTreat (increase dopa or reduce ACh)-Carbidopa-levodopa (s/e: tardive dyskinesia after yrs)-Dop agonists (bromocriptine

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How do you treat a stroke,”Acute control-Give tPA if within 3hrs of an stroke. Hold aspirin for the first 24hrs to reduce the risk of an intracranial bleed-Otherwise, give aspirin > clopidogrel > ticlopdipine BP control-Give only if BP is high (>220/120, patient has a condition that really requires BP control, or patient is on thrombolytic therapy at which point BP is reduced < 185/110 (need tight BP control to offset the increased risk of bleeding)Prevention-If carotid stenosis is >70% patient is symptomatic, perform carotid endartectomy-If asymptomatic

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