Parkinson examination - Mind Map

Parkinson examination Mind Map
 
 
 
 

Parkinson examination - Mind Map

1 years ago by: Yousif A H TAIALLA
 
 
  • 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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