Enter
Wish The Examiners
Sanitize Your Hands
Talk To the Patient When Introducing To Chech Hypophonia
Gait
Start with the Gait
Look For Stooped Posture
Reduced Arm swing
En Bloc Turn
(Always Walk Close To The Patient And Make Sure He/She Doesn’t Fall)
Face
Masked Like Facies
Ask The Patient to Close Eyes Gently to Check Blepharoclonus
Eye Movements to Rule Out PSP
Hands
Keep A Pillow
Asymmetrical Tremor If Tremor Doesn’t Comes Up Give An Arithmetic Stress
Check For Rigidity
Check For Bradykinesia
Ask To Draw A Spiral Or Write His Name To Check Micrographia
Check Either Graphesthesia/Astereognosis (To R/O Cbd)
Cerebellar-Finger Nose Test + Dysdiadokokinesia
Foot + Arm Tapping
Bradykinesia In Ll>Ul Suggests Vascular Parkinsons
Offer
1.Lying And Standing Blood Pressure To R/O Msa
2.Cognitive Examination
3Examination Of Other Cranial Nerves