Pre PACES Podcast #35 Parkinsonism
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May 22, 2022 Dr. Iain Wilkinson, a consultant geriatrician and movement disorders expert, dives into the nuances of Parkinsonism. He explains the key differences between Parkinsonism and Parkinson's disease, outlines essential examination techniques, and discusses differential diagnoses. Iain also covers management strategies, including medication options and the importance of multidisciplinary support. Plus, tune in for Iain's fun quiz on modern folk music, showcasing his hidden talent and passion for the genre!
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How The MDT Podcast Is Structured
- Dr Iain Wilkinson describes the MDT podcast format: specialists discuss clinical topics mapped to curricula.
- He includes scripts, references, and CPD reflections on the website for learners.
Use Gait To Differentiate Subtypes
- Assess gait for reduced arm swing, stooped posture and difficulty initiating steps.
- Note lower-limb dominant gait to suspect vascular parkinsonism if upper-limb signs are absent.
Measure Bradykinesia With Repetitive Tasks
- Test bradykinesia with repetitive movements like finger tapping and note amplitude decline.
- For lower limbs, ask the seated patient to stamp and observe reduced amplitude and loudness.