Neurologist demonstrates the Parkinson's Disease (Extrapyramidal) Examination
ฝัง
- เผยแพร่เมื่อ 31 ก.ค. 2024
- **Benny and Pat’s guide to Neurology for the Physician’s Exams**
www.bennyandpat.com.au/
This course is for Australian and New Zealander Basic Physician Trainees (BPTs) sitting the RACP Written Exam!!
Acknowledgements:
Patient: Nurse Josie - / josieaesthetics
Filming: Emily Drummond - / editcreativeco
Location: Park Clinic Plastic Surgery - / parkclinicsydney
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#bpt #imeducation101 #medicaleducation #neurology #neurologicalexamination #asmr #doctorsofinstagram #instagood #hashtag #schoolsin #sydney #thatsawrap #racp #racgp #basicphysiciantrainees
Great work, very informative and easy to understand.
Many thanks!
I like the notes between slides! :) good succinct video to summarise different aspects of relevant examination
Thx Laura, I’m so pleased that you found it useful 🙂
@@Meducation101 hi doctor, I'm 33 healthy and I am a automotive mechanic by trade. Months ago I hurt my right wrist and the pain was extremely painful! On and off from about may to August it hurt. I noticed i get twitches in fingers from working out but my right ring fi ger twitches side to side like a tremor. A few day before it started, I was doing heavy barbells curls but was going very heavy. Is is possible to have a tremor caused from lifting weights that were too heavy? I thought maybe a strtched nerve ?
@@tomfletcher2345 speaking in general as I do not know your case in detail through formal clinical history taking and examination (which is what I would primarily advise you to have performed) - the diverse range of tremors that can occur, originate in the central nervous system, most predominately the basal ganglia but other areas such as the cerebellum are sometimes implicated. These areas would not have been injured by the mechanism you describe.
Best Wishes,
iMeducation101
Came for the PD, stayed for the Josey.
Here's another gold medal for "Best Comment" 😂
Extraordinary Neurological Examination....TRAP for Tremor (Resting Tremor), Rigidity (aka Cogwheel Rigidity), Akinesia (Bradykinesia and Hypokinesia) and 4) Postural Instability. Competency in any Medical Curriculum would entail this information, assured.....Allow me to remind anyone, especially the professionals: To know Pathology is essential to a Medical Competency Examination and show also Humanistic Insight and Sophistication, but to actually cure or prevent a disease (in this case Brain Atrophy) is the Realm of Divinity! Sir Abel Solitarissimus!
How do you differentiate spastic paraplegia with parkinson disease ? I have bilateral babinksi, hofmann and romberg sign.
I also have iron deficiency. Rhanks
Spastic paraplegia has upper motor neuron (UMN) signs with spasticity, weakness and hyperreflexia. Parkinson disease is an extrapyramidal disorder (the motor system outside of that which passes through the pyramids of the medulla (i.e. the UMN)); it does not cause true neuromuscular weakness on bedside testing (except for from disuse later in the condition) but rather slowness, tremor and rigidity (a different type of hypertonia, as compared to spasticity). See more on tone here --> th-cam.com/video/fGgrM2T5wF4/w-d-xo.htmlsi=0TvQntfcJ6kh7fxx
Demonstrating on someone who doesn't have PD doesn't really give you the full effect of the test
Outstanding insight, many thank for your engagement with our teaching videos! 😊😊😊
Parkinson disease is a very terrible illness, my Dad suffered from it for 19 years until we finally got a help and a medicine that truly works that helped treat, cure and reversed all his symptoms••My Dad is completely okay and healthy now..