30th April 2024

A 55-year-old man presents with a resting tremor on the right side. He is finding that this is affecting his work

A 55-year-old man presents with a resting tremor on the right side. He is finding that this is affecting his work as a stand-up comedian. He also complains of some slowness which he is finding frustrating. Symptoms have progressed over the last 2 years, but he didn’t want to bother his doctor. He takes only amlodipine for hypertension.  On examination, you elicit bradykinesia, rigidity, micrographia and en-bloc turning. What is the most appropriate next step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.