Accepted at 12:04 a.m. Apr, 25, 2024 by Cameron
Author: kirbysama
Related Note: 1481857933770 1
Rationale for change

Current wording is confusing and misleading, suggesting that chorea itself is a symptom that progresses to depression/dementia which is false.

Rather, this card describes distinct clinical features of Huntington disease that are seen at two different stages, according to the corresponding Amboss article for Huntington disease (https://next.amboss.com/us/article/y30dOf) under section Clinical Features: "Initial stages: ...
Movement dysfunction: ...
Chorea: ... Athetosis: ... Oculumotor disorders: ..."

"Advanced stages: ...
Cognitive decline: ...
Dementia: ... Major Depressive Disorder: ... Aggression: ..."

Since Step 1 focuses primarily on identification of pathology based on key clinical features, the suggested changes corrects the previously misleading description of chorea progression, and rephrases for clarity of the clinical features, while extra text is included to satisfy those who feel that knowledge of progression is also important.

Cloze hints further clarify that this card is not asking about the progression of motor dysfunction

Further extra text about possibility of mistaking for substance abuse sourced from the existing attached images from First Aid.

Text Text
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Pathoma
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Boards and Beyond
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First Aid
Sketchy
Sketchy 2
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Sketchy Extra
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Picmonic
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Pixorize
Physeo
Bootcamp
OME
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