Parkinson's Disease

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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

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