To construct chart notes, replace the all capital terms in each of the scenarios with one of the medical
terms listed below.

bradykinesia bradyphasia dysphasia herniation neuralgia neuropathy osteophyte parkinson disease sciatica tremor

Mr. K., a 58-year-old male, works at a local newspaper. He has been tying and lifting bundles of
papers, and placing them in trucks for delivery throughout the city, for most of his life. He complains
of (1) NERVE PAIN of the lower back and, when standing, (2) PAIN THAT RADIATES DOWN THE NERVE of his right
leg, causing his foot to "tingle." The results of an MRI show a (3) PROTRUSION of the disc at the L3-L4,
compressing the nerve. The MRI also reveals a small (4) BONE SPUR impinging on the same nerve.
A nerve conduction velocity will be ordered to assess (5) NERVE DISEASE.

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Mr. M. is an 82-year-old man who was brought to our office by his daughter. She expresses concern
because her father frequently has a "far away stare," and his left hand has developed a noticeable
(6) SHAKE. His (7) SLOW SPEECH and "word slurring" makes it difficult for her to understand and respond to him, causing him further frustration. The daughter notes that her father has (8) SLOW MOVEMENT and
(9) DIFFICULTY IN SWALLOWING, often gagging on his food. The results of a complete medical history, exami
nation, and full neurological workup indicate that this gentleman is suffering from (10) SHAKING PALSY.
The plan is to begin treatment with Levodopa. This medication increases dopamine in the brain and
helps control tremors and muscle rigidity.

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