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Parkinson examination - Mind Map
- Parkinson examination
- Upper limb examination
- Inspection
- RestingTremors Increased by Synkinesis
- Choreo-dystonic movements due to levodopa induced dyskinesia
- Tone
- Wrist: Rigidity--cog-wheel
- Elbows: Rigidity = lead pipe
- Power
- Reflexes
- Plantar reflex (for the cause) If upgoing = vascular cause
- Coordination
- Sensation
- Special examination
- Face
- General look
- Expressionless (Mask like),
- Eyes
- Infrequent blinking
- Look for Kayser-Fleischer Rings - Wilson Disease
- Blephroclonus
- Eye movements (for Parkinson plus)
- Nystagmus = Cerebellar Signs: Multiple system atrophy (Shy Drager)
- Upward gaze palsy = (Supranuclear Palsy)
- Glabellar tap
- Mouth
- Drooling saliva
- Speech = monotonous and slurred
- Hand
- Counting fingers test (thumb to fingers)
- Hand writing = Micrographia
- Unbutton shirt
- Gait
- Stooped posture
- Reduce Arm swinging
- Shuffling
- Turning block
- If wide based= cerebellar involvement= Parkinson’s plus syndrome
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