I was standing by the service elevators when I finally burst into tears. It was Saturday morning, and I had been at the hospital before the sun. Rounds had taken almost 5 hours. I remember standing ou...

By Jamie Durana

Stanford Director of Parkinson's Center presents the Parkinson's disease physical exam and shows why observing your patient is critical in the initial diagnosis of Parkinson's Disease. Dave also shares a real patient experience on his diagnosis with Parkinson's and some of the struggles this comes with. The rest of the series will be uploaded in the coming weeks. Produced by Aaron Frank, MD and Errol Ozdalga, MD. Thank you CSRP Funding for your support of Stanford 25. 0:00 Introduction 0:50 5 Key Skills for the Parkinson's Exam 1:40 40% of Parkinson's patients cared for by non-neurologists 2:11 Why observation is so important 2:45 Dave's Story and Observation 5:00 Writing Issues 6:18 Takeaways from Observing Dave 6:50 Asymmetric Findings 7:12 Leg Observations

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This video is brought to you by Stanford Medicine 25 to teach you the exam to diagnose Parkinson's Disease confidently as well as monitor response to treatment or progression of disease. New Parkinson's Videos With Dr. Poston Here: https://youtu.be/AK0r4_5WhUo and https://youtu.be/swa6eC1mhEw. The video is lead by Dr. Kathleen Poston. She is faculty at Stanford and a neurologist with an expertise in movement disorders. She is an active researcher in the field of Parkinson's Disease and an wonderful clinician. (The patient is this video, Larry, is a patient of Dr. Poston's.) * All exams are demonstrated with examples of real abnormalities thanks to our amazing patients! Special thank you to Larry for being the primary patient in this video. Larry is an amazing teacher and person! The four cardinal parts of the exam for Parkinson's Disease (covered in detail in this video) are: 1) Bradykinesia (required for diagnosis of 2) Rigidity 3) Tremor (usually rest tremor but also kinetic and intentional tremor) 4) Issues with gait and postural instability The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients. Visit us: Website: http://stanfordmedicine25.stanford.edu/ Blog: http://stanfordmedicine25.stanford.ed... Facebook: https://www.facebook.com/StanfordMedi... Twitter: https://twitter.com/StanfordMed25