How I Examine My Patient: The Art of Neurological Examination for Parkinson's Disease
Author(s) -
Bastiaan R. Bloem,
Patrik Brundin
Publication year - 2014
Publication title -
journal of parkinson s disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.747
H-Index - 45
eISSN - 1877-718X
pISSN - 1877-7171
DOI - 10.3233/jpd-149006
Subject(s) - parkinson's disease , disease , neurological examination , medicine , psychology , physical medicine and rehabilitation , psychiatry , pathology
is proud toannounce an exciting new section entitled “How IExamine My Patient”, dedicated to the art of theneurological examination. The critical basis for clin-ical reasoning and decision-making is a properlyperformed, detailed physical examination combinedwith careful history taking. In this regard, good clin-ical skills are important for any medical profession,but particularly for clinical neurology, not least thesubspecialty of movement disorders. Showing videosof patients with involuntary movements consistentlyprovokesintensivedebateamongdelegatesintheaudi-ence. Importantly, such debates concentrate not onlyon the nature of the observed abnormalities, but oftenalso about the techniques used to elicit particular neu-rological symptoms (using clever questions) or signs(using specic tests or tricks). Anyone who has everattended a Grand Rounds session in clinic or perhapsat a medical conference must have been struck by thevariability in techniques and methods across differentclinicians, and by the different outcomes that are pro-duced as a result. And performing a clinical exam the
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