![]() He is oriented, states the months of the year backwards very slowly with 2 mistakes, and recalls 3 of 3 items in 5 minutes. On mental status examination, the patient's affect is blunted and his mood is depressed. Examination shows right hand greater than left resting tremor generalized muscle rigidity and a slow, shuffling gait, none of which are new. Temperature is 36.7 C (98 F), blood pressure is 144/88 mm Hg, pulse is 74/min, and respirations are 14/min. Seeing his friends and no longer enjoys spending time with his family. I hope God takes my life already." He is still able to live alone but has stopped Dr.Ryan has created videos filled with insights that will maximize your understanding. Each video is designed and taught by Dr.Jason Ryan, an award-winning educator with years of experience teaching students. ![]() The patient has become increasingly isolated as his functional abilities have declined and says, "I don't want to live like this anymore. Boards and Beyond was one of the best resources I used in preparing for USMLE Step 1. 79-year-old man with Parkinson disease for the past 3 years comes to the office due to poor appetite, weight loss, increased generalized weakness, "difficulty thinking," and impaired sleep over the past 4 months. ![]()
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