Top Tweets for #PT546Week6
“Parkinsonian symptoms” can be present in disorders other than Parkinson’s disease, so keep an eye out for red herrings! If it looks like a 🦆 it might quack like a 🐴 #PT546Week6 @juliehershberg @NoraDarakDPT
What makes Levodopa and Carbidopa even more dopa at treating Parkinson’s Disease? Physical Therapy! Exercise can help further ⬆️dopamine release
#PT546Week6 @NoraDarakDPT @juliehershberg
Not all tremors are a result of basal ganglia or cerebellar involvement! Try out some mindfulness and yoga to rule out a sympathetic nervous system cause #KickBackandRelax #PT546Week6 @juliehershberg @NoraDarakDPT
PD is Dx’d clinically. Look out for the 6 signs: rigidity, resting tremor, flexed posture, bradykinesia, loss of postural reflexes and freezing gait. BUT if you notice autonomic dysfunction, or cerebellar involvement it may atypical PD! @juliehershberg @NoraDarakDPT #PT546Week6
In addition to the 6 cardinal signs, changes in speech pattern can be an early sign of Parkinson Disease like those seen in The Champ Muhammad Ali #PT546Week6 @NoraDarakDPT
#PT546week6 @juliehershberg @NoraDarakDPT When considering PD watch out for the 6 Cardinal Signs: Freezing of gait, Flexed Posture, Loss of postural reflexes, Rigidity, Bradykinesia, and Resting Tremor https://t.co/sgyfD5abOe
5 Stages of PD
1. Unilateral Sx
2. Bilateral Sx
3. Impaired postural reflexes
4. Severe disability (can walk/stand)
5. W/C bound or bed ridden
What stage was Hitler at? #PT546Week6 @juliehershberg @NoraDarakDPT
There are ✋🏼☝🏼 cardinal signs of PD (resting tremor, bradykinesia, freezing, flexed posture, rigidity and loss of postural responses) but pts must have either resting tremor or bradykinesia for diagnosis! #PT546week6 @juliehershberg @NoraDarakDPT
Bradykinesia, resting tremor, freezing gait, postural instability, and rigidity are cardinal signs of idiopathic Parkinson's Disease.
Fun Fact: B12 vitamin deficiency may also present with PD symptoms!
#PT546Week6 @juliehershberg @NoraDarakDPT
Typical vs. Atypical Parkinsonianism? Consider:
🔶Asymmetrical vs. Symmetrical symptoms🧐
🔶Resting vs. Active tremor👋🏽
🔶Late vs. Early Falls 👣
🔶Improvements vs. No improvement with L-dopa❗️
Correct diagnosis makes all the difference with tx!
#PT546week6 @NoraDarakDPT
#PT546Week6
✨PD Limerick✨
Parkinson’s is one of those diseases,
Whose patients have a gait that freezes,
They have tremors at rest,
And their posture’s not the best,
And they also have bradykinesia.
@NoraDarakDPT @juliehershberg
@juliehershberg @NoraDarakDPT recipe for definite Parkinsonism diagnosis: 1 part - tremor at rest or bradykinesia
2 parts - rigidity, loss of postural reflexes, flexed posture and/or freezing #PT546Week6 #levadopahelpsPTtoo
Parkinson Disease: resting tremor or bradykinesia
Essential tremor: tremor with action
PSP: slow horizontal gaze
Multiple system atrophy: UMN and ANS signs
CBD: UMN signs and unilateral rigidity
...and here is a puppy
@NoraDarakDPT #PT546Week6
#PT546Week6
Parkinson’s disease -either bradykinesia or resting tremor AND one of the following: freezing gait, flexed posture, rigidity, loss of postural reflexes. UMN signs, autonomic dysfunction, cerebellum signs check you dx. Look at MRI to rule out what you cannot clinically
Watch out, Waco Kid! An action tremor that improves with alcohol ingestion is a key finding of Essential Tremor! But, symptoms are typically bilateral and symmetric...time to dig deeper 🔍 @NoraDarakDPT @juliehershberg @LibbyKrauseDPT #PT546Week6
Just because a patient presents with marked movement disorders does not mean they automatically have Parkinson's! Have to be a #DocBrown to differentiate PD from atypical PD diseases like MSA or CBD. Don't want to say #GreatScott before its too late!
@NoraDarakDPT #PT546week6
Carbidopa/levodopa can throw Parkinson Disease a round-house kick to the face, then add in exercise for the most sinister 1-2 punch #PT546Week6 @NoraDarakDPT @juliehershberg
Pt.'s w/ atypical Parkinsonism are often misdiagnosed with Parkinson's Disease early on! Make sure you know the differences. If your pt. is experiencing autonomic dysfunction and early onset of falls then you may want to reconsider your pt.'s diagnosis! #PT546Week6 @NoraDarakDPT
#PT546Week6 PD dx: Resting tremor or bradykinesia + 1 - rigidity, loss of postural reflexes, flexed posture, freezing gait. PD responds to L-dopa, PSP supranuclear palsy, CBD limb dystonia, MSA dysautonomia, to keep it simple 😉 @juliehershberg @NoraDarakDPT
#PT546Week6 When administering the Retropulsion Test for diagnosing PD it’s best to stand behind the patient....@NoraDarakDPT @LibbyKrauseDPT @juliehershberg
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