350) A 68 year old man with recently diagnosed Parkinson's disease is evaluated during a follow-up visit. He was started on medications to help with the motor symptoms of his disease. He reports that the medications have not helped him much however, he has been experiencing difficulty concentrating on his job and has lost interest in life. He reports inability to relish his life, sadness and decreased appetite. On examination, his mood is depressed . His facial expressions are masked. He has a resting tremor and generalized slowness of movements. Which of the following is the most appropriate next step in management?
A) Discontinue Anti-parkinson's medications
B) Increase the dose of anti-parkinson's medications
C) Inquire about Suicidal ideation
D) Refer to Neurology
E) Admit to Psychiatry ward
Archer USMLE Step 3 and Internal medicine blogs are the products of highly successful Archer USMLE reviews. These blogs are run by board-certified teaching physicians. From time to time, several evidence based guidelines on disease management strategies and patient care will be posted and discussed here to help USMLE Step 3 examinees and those appearing for Internal Medicine Boards. These include the areas of medicine that are highly tested on USMLE 3 as well as Internal medicine board exams.