Picking Up the Premotor Symptoms of Parkinson's

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Picking Up the Premotor Symptoms of Parkinson's
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.thecurbsiders discuss important physical exam findings in suspected Parkinson’s. MedTwitter

with Dr Albert Hung. Paul, this was something that really made me nervous. I didn't have a lot of comfort with it. But he taught us a lot of tips about how to recognize Parkinson's.

What tips do you have about how to recognize Parkinson's? Do you want to talk about the physical exam?Figure 1. And this idea of cogwheel rigidity is a combination of some of the cardinal features of Parkinson's — it's a little bit of tremor and a little bit of rigidity too. There's a baseline increase in tone, and then the tremor is superimposed on top of that. When you're feeling cogwheeling, that's actually what you're feeling on examination. Parkinson's, with all of its physical exam findings has always fascinated me.

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