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Lesson of the month 2: A case of coma in a Parkinson's patient: a combination of fatigue, dehydration and high protein diet over the New Year period?

Nirmalan Arulanantham, Ralph Wing Fung Lee and Tom Hayton
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DOI: https://doi.org/10.7861/clinmedicine.14-4-449
Clin Med August 2014
Nirmalan Arulanantham
Athe Great Western Hospital, Swindon, UK; previously specialist registrar, Department of Clinical Pharmacology and General Medicine, Queen Elizabeth Hospital, Birmingham, UK and honorary lecturer, Department of Clinical Pharmacology, University of Birmingham, UK
Roles: locum consultant in general medicine
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  • For correspondence: nirmalan.arulanantham@doctors.org.uk
Ralph Wing Fung Lee
BWest Midlands rotation, UK
Roles: core medical trainee
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Tom Hayton
CDepartment of Neurology, Queen Elizabeth Hospital, Birmingham, UK
Roles: consultant neurologist
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    Fig 1.

    Algorithm for estimating parenteral doses of drugs for Parkinson's disease. Reproduced with permission from Brennan et al (2010).5 COMT = catechol-O-methyltransferase; L-dopa = levodopa; LEDD = levodopa equivalent daily dose; LEF = levodopa equivalent factor.

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Lesson of the month 2: A case of coma in a Parkinson's patient: a combination of fatigue, dehydration and high protein diet over the New Year period?
Nirmalan Arulanantham, Ralph Wing Fung Lee, Tom Hayton
Clinical Medicine Aug 2014, 14 (4) 449-451; DOI: 10.7861/clinmedicine.14-4-449

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Lesson of the month 2: A case of coma in a Parkinson's patient: a combination of fatigue, dehydration and high protein diet over the New Year period?
Nirmalan Arulanantham, Ralph Wing Fung Lee, Tom Hayton
Clinical Medicine Aug 2014, 14 (4) 449-451; DOI: 10.7861/clinmedicine.14-4-449
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