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Approach to the Exam for Parkinson's Disease 

Stanford Medicine 25
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This video is brought to you by the 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.
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: stanfordmedicine25.stanford.edu/
Blog: stanfordmedicine25.stanford.ed...
Facebook: / stanfordmedi. .
Twitter: / stanfordmed25

Опубликовано:

 

30 авг 2018

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Комментарии : 549   
@dge.
@dge. 4 года назад
It’s so immensely inspiring to see an actual patient in videos like these. It reminds me why I’m bending over my books all day. Thank you Larry and thank you, Stanford Med!
@jamesalipio1631
@jamesalipio1631 2 года назад
hi fellow doge, parkinsonism interests me as well
@mikejennings5961
@mikejennings5961 Месяц назад
Goge
@mikejennings5961
@mikejennings5961 Месяц назад
Hello
@heatherk.906
@heatherk.906 Год назад
Way to go, Larry! I hope he's still going strong, now four years later. I always appreciate folks who are willing to let the rest of us learn "off" of them and their troubles.
@alouise3557
@alouise3557 2 года назад
Over 700,000 of us probably did the first few exercises "just to see".
@brentbarajas
@brentbarajas 2 месяца назад
Yup lol
@pkneeno
@pkneeno 5 лет назад
Larry: here's an internet hug!
@HeeBGBz
@HeeBGBz 3 года назад
Thanks Larry
@elizabethengelbrecht3376
@elizabethengelbrecht3376 3 года назад
9
@denisecarr5821
@denisecarr5821 Год назад
🙌🏼
@rahulsainathvhanalwad3966
@rahulsainathvhanalwad3966 11 месяцев назад
@joshyantony1932
@joshyantony1932 5 лет назад
Please tell Larry he has good wishes from all over the world!! Thank you doctor for this wonderful presentation! I still can't stop thanking Larry enough :)
@StanfordMedicine25
@StanfordMedicine25 5 лет назад
Joshy, thank you for the message. I will make sure Larry see yours and others. - Errol Ozdalga
@shamchandgautam8510
@shamchandgautam8510 5 лет назад
I8
@skylerjames3276
@skylerjames3276 Год назад
Thank you Larry!! I hope you know how many medical schools your video is used at all over the country, and thus how many students you have helped learn. Getting to learn from real patients makes all the difference in the world and reminds me what all this work is for. Excellent video.
@josephinemacken4391
@josephinemacken4391 3 месяца назад
What a fantastic teacher and educator you are, Dr. Poston! You are also a compassionate and thoughtful doctor!
@olaflai2136
@olaflai2136 5 лет назад
THANK YOU!! Amazing video. Please tell Larry that we all wish him good health and happiness. :)
@StanfordMedicine25
@StanfordMedicine25 4 года назад
Believe me, we make sure he see's all the comments. Thank you for yours.
@IIDraithII
@IIDraithII 4 года назад
You said what I wanted to say, thank you Larry!
@cozzball
@cozzball 4 года назад
+1 hereu, greetings from Barcelona to all of you, and for Larry of course!
@ginb1598
@ginb1598 3 года назад
This was great, I have been researching "what are the warning signs of parkinson disease?" for a while now, and I think this has helped. Have you heard people talk about - Piyaliyah Prominent Prepotence - (search on google ) ? It is a smashing exclusive product for discovering how to reverse Parkinsons disease minus the headache. Ive heard some interesting things about it and my mate got excellent success with it.
@arturogoleman5221
@arturogoleman5221 3 года назад
Just wonderful, I've been looking for "what is the drug of choice for parkinson's?" for a while now, and I think this has helped. You ever tried - Piyaliyah Prominent Prepotence - (do a google search ) ? It is a good exclusive product for discovering how to reverse Parkinsons disease without the hard work. Ive heard some super things about it and my friend got excellent success with it.
@maryherron3970
@maryherron3970 4 года назад
Thank you Dr. Posten and Larry. Now I'm not so scared when I go to have mine done. I certainly appreciate how well you explained everything.
@KingCamisback
@KingCamisback 4 года назад
Thank you mister Larry and Dr Poston for helping us in our education about PD. All the best to the greatest volunteer patient Larry!
@dennismarble3591
@dennismarble3591 5 лет назад
Thank You Dr. Poston and Larry. Excellent demonstrations and very helpful.
@manikandansrt
@manikandansrt 10 месяцев назад
Thank you Larry and Dr.Poston. Wish you all good things.
@annaalexandratou5593
@annaalexandratou5593 4 года назад
This was amazing and very educational. Thank you so much for uploading and thank you Larry for the cooperation and demonstration!!
@MuhammadAli-ml9bt
@MuhammadAli-ml9bt 5 лет назад
Dr. Kathleen Poston. thanky so much and thank you LARRY
@siddharthchikhalkar4615
@siddharthchikhalkar4615 8 месяцев назад
Thank you so much Larry Sir for teaching us! I hope you're doing just fine after 5 years! Also Thanking Dr. Kathleen for teaching us and being such gentle towards Larry. God bless!!
@hunkaboomer
@hunkaboomer Год назад
I have essential tremors that are a reflection of my anxiety. Sometimes I think, “Do I have Parkinson’s?” because I shake so bad, but this RU-vid instructional helps me know that I don’t have anything more than tremors
@Epiphalactic
@Epiphalactic Месяц назад
essential tremor is different than anxiety tremor.
@exosproudmamabear558
@exosproudmamabear558 Месяц назад
You have risk of having Parkinson (long term stress can effect essential tremors but it isnt direct cause. Essential tremors doesnt mean you are parkinson tho)so I suggest you to get your anxiety in check and stay away from antipsychotics. Go yo doctor to see if you need medication for it. Try to sleep enough.
@carriebaker5161
@carriebaker5161 Месяц назад
Talk to your PCP about Lorazepam or Flexiril for your anxiety and spasticity. I'm on both. A genetic condition I have leaves me an high risk for MS or Parkinson's.
@tanny2482
@tanny2482 5 лет назад
Thanks Larry! Though you may not see the message, but thanks a lot! You are the greatest teacher to us!
@antartistube
@antartistube 3 года назад
Thank you, Dr. Poston and Larry! Many blessings
@rosieweasley5865
@rosieweasley5865 2 года назад
Thank you so much Dr Poston and Larry, and everyone involved in producing this very helpful video. I wish everyone great health
@OkanVKILIC
@OkanVKILIC 4 года назад
thank you so much Larry, i am a physician from Turkey, and thanks to you and your great doctor, i understood Parkinson's disease better. i wish you good health and happiness in your life.
@momtazularefin
@momtazularefin 2 года назад
Bradykinesia <a href="#" class="seekto" data-time="98">1:38</a> Rigidity <a href="#" class="seekto" data-time="303">5:03</a> Tremor <a href="#" class="seekto" data-time="487">8:07</a> Gait & Balance <a href="#" class="seekto" data-time="660">11:00</a>
@ra-m
@ra-m Год назад
Postural instabilities instead
@siddharthchikhalkar4615
@siddharthchikhalkar4615 8 месяцев назад
Thank you!
@hatirose7503
@hatirose7503 5 лет назад
Thank you Larry, that was very helpful, and thanks to standford medicine 25 for uploading great videos.
@valnaples
@valnaples 4 года назад
wasn't that good of him to participate like this? WOW..eye-opening and YES, GOOD health to you Larry!
@donnarick7700
@donnarick7700 2 года назад
Thank you, Larry & Doctor. God bless you both!
@leeandrewcowles
@leeandrewcowles Год назад
Thank you Larry, as others have said it makes a world of difference seeing a real person rather than another page or PowerPoint slide! So good of you to take part.
@CorkyDaCat
@CorkyDaCat 5 лет назад
I under went most of those examinations and was given a preliminary diagnosis of PD just before Xmas. We thought my Tremors was due to my Extreme Anxiety and PTSD (both diagnosed). But watching YT videos such as this (& MJ Fox) is helping me understand my situation. The buttoning up process is a real challenge for me, same with shoe laces but it's all making sense to me and my Doctor now. Thank you.
5 месяцев назад
You have it
@rolandpochet8418
@rolandpochet8418 Год назад
This is an excellent video in which not only students and MDs can learn but also the patients themselves and caregivers. This video open to everyone is in the line of the consept of patient centricity. Thank you Dr. Posten and Larry
@troyhagen587
@troyhagen587 5 лет назад
Just Thank You, GREAT INFORMATION AND VIDEO THANKS. I'm 62 and fighting Parkinson's, walking and have a part time job. Great Information, Happy Easter. THANKS
@BM-ke6yn
@BM-ke6yn 3 года назад
Larry is so CUTE! WE LOVE YOU LARRY
@marymcnally4852
@marymcnally4852 4 года назад
Thank you for your clarity and compassion.
@jislam3702
@jislam3702 2 года назад
Dr. Kathleen... the way you explain & do exam, as a young doc, I am mersmerised! Amazing skill. Stanford Medicine. 👌
@EvangelineMunda
@EvangelineMunda 5 лет назад
This video is very helpful. Thanks Dr. Kathleen and Larry.
@drmanangupta
@drmanangupta 5 лет назад
What an excellent video on examination of a patient with Parkinson's Disease. Simple yet detailed. Organized and easy to learn. Will share with my residents and medical students. Keep it coming!
@patnewman1
@patnewman1 5 лет назад
Prior to my diagnosis of PD three years ago I noticed a tremor in my left hand. Because I am a Vietnam Veteran my primary care Doctor scheduled an appointment with a Neurologist. Before I met with the Neurologist I looked at a lot of videos which discussed PD symptoms, but this is by far the best video for PD that I have seen. Thank you for posting it.
@saiyogesh4606
@saiyogesh4606 4 года назад
Im observing slight trembling im my right finger..especially after using phone ..can u pls help me
@muhammadelgazar7303
@muhammadelgazar7303 5 лет назад
Many thanks for Dr. Kathleen and Larry.
@ifuadkhan
@ifuadkhan 6 месяцев назад
Thank you for your contribution to medicine Larry. Stay blessed and wishing you the best of health!
@Veraa54621
@Veraa54621 2 года назад
Awesome video. I'm a family medicine junior doctor in Portugal and I watch this video each time I want to review Parkison Disease examination. I've already recomend it to several students that I couched, Thank you so much
@aasthagupta1160
@aasthagupta1160 5 лет назад
Thank you so much Larry and thanks to everyone involved in making this video
@alyssecharlesworth2934
@alyssecharlesworth2934 4 года назад
Thank you Larry, this PT student appreciated your time to make this video!!
@RikkeS87
@RikkeS87 Год назад
This video has been so helpful for me as a student of speech therapy to understand more about the exam for Parkinson's Disease. Thank you so much Larry, for demonstrating, it means a lot. I hope you're doing well!
@albertdesalvo7273
@albertdesalvo7273 4 года назад
Dr. Kathleen Poston has ample charms. All the best for Larry.
@VivekSingh-kc5kw
@VivekSingh-kc5kw 5 лет назад
Best explanation ever in my whole medical life
@ssbmouse6471
@ssbmouse6471 2 года назад
Thank you Larry for volunteering!
@sushinyan5220
@sushinyan5220 5 лет назад
I took a k/c/o PD today and your video helps me a lot! Thank you Dr.Kathleen and Larry !
@miared2059
@miared2059 4 года назад
Thank you Larry and Dr. Posten
@drmadhurireddy9474
@drmadhurireddy9474 5 лет назад
Exceptionally well demonstrated!!
@dharghamalturaihi3511
@dharghamalturaihi3511 3 года назад
Thanks a lot for your continuous honorable contribution to International education . From Iraq
@TheUnderclocked
@TheUnderclocked 2 месяца назад
I just came back from an initial exam for Parkinson's tremor. I believe the nurse practitioner that examined me must have just watched this video beforehand. My responses very closely resemble Larry's to even include the predominance of symptoms on the left side. Best wishes to Larry!
@nouraayed
@nouraayed 3 года назад
she’s such an amazing tutor and warm hearted too thanks a lot I hope one day I become as kind and amazing doctor as she is❤️
@sunving
@sunving 4 года назад
Thank you Doctor, Poston and Larry. it is a wonderful video.
@theresamcevoy3039
@theresamcevoy3039 2 года назад
Thank you Dr. Poston and Larry! Excellent video!
@antoniablau3268
@antoniablau3268 4 года назад
Thank you so much Dr. Poston! This was amazingly well explained and easy to follow and understand.
@fotballdude16
@fotballdude16 7 месяцев назад
Thank you so much Larry for teaching us!! I´m writing this as a physician here in Norway. Thank you to Stanford Med, for making this great video! Much appreciated!
@jaceshoemaker3155
@jaceshoemaker3155 5 лет назад
EXCELLENT video! Thank you! (And good job, Larry!)
@thantzinaung5680
@thantzinaung5680 5 лет назад
Thank you teacher for your very informative and nice clinical examination video about Parkinson disease and also million thank to Larry !!!
@karenwisusa6258
@karenwisusa6258 7 месяцев назад
Thank you Larry for helping the team get information out! Glad your medication is helping you have a better quality of life! I have a neurology exam in less than two weeks and I’m glad I watched this video! My resting head tremors/shaking 24/7 seriously worsened after trying the exercises in the beginning of this video. Now I may need to walk around awhile to try to see if I can settle them down! Good to be aware that during my exam my tremors may get worse for awhile if these exercises are done!
@noellealissa2206
@noellealissa2206 2 года назад
Thanks Doc. Your physical presentation of Parkinson's Disease was bar none!
@camillecruxinger9368
@camillecruxinger9368 3 года назад
Bless your heart Larry! We love you!
@helenghandchi8280
@helenghandchi8280 5 лет назад
I really thank you for this GREAT video.
@esi8747
@esi8747 Год назад
Thank you Larry for your participation. Thank you Dr. Poston for sharing your knowledge
@stevenreichertart
@stevenreichertart 5 лет назад
Thank you all for an excellent and detailed demonstration.
@jenniealkawari2731
@jenniealkawari2731 3 года назад
Love you Larry. Going for a PD assessment next Monday. Only tremor so far. Thank you Dr and dear Larry
@gauthamjeyakumar
@gauthamjeyakumar 9 месяцев назад
Thanks Larry ,and thanks to the doctor for teaching so easily and clearly😊
@sophia66723
@sophia66723 5 месяцев назад
This was very helpful. Big thanks to both the doctor and the patient!
@eg2244
@eg2244 3 года назад
Thank you Larry and Dr. Poston
@aprildahlberg6615
@aprildahlberg6615 2 года назад
Thank you for this information. Larry was a very good patient. I wish him the best. I haven't been diagnosed yet but this give me the idea of what to expect. Thank you all.
@pranavireddy1605
@pranavireddy1605 Год назад
Thank you Larry and Stanford med
@scores718
@scores718 Месяц назад
Mr. LARRY. Happy Spring. You are impressive in your calm manner
@marielkraus649
@marielkraus649 5 лет назад
After years of testing my patients for rigidity for the UPDRS for establishing my therapy POC, I have not challenged rigidity using activation maneuver so I've learned something new and very useful in this video! Thank you, Dr. Kathleen!
5 месяцев назад
My hands hurt while doing the first hand testing
@barwaaqo9644
@barwaaqo9644 2 года назад
Thank you Larry and Dr Poston! :)
@hopeabey9220
@hopeabey9220 5 лет назад
Thank you very much for taking time and explanation:)
@mamalittlefoot1491
@mamalittlefoot1491 3 года назад
Thank you for taking the time putting this together. Very valuable information.
@NoorAli-lt5ky
@NoorAli-lt5ky 4 года назад
Thanks Dr , awesome..all my best wishes for Mr Larry for sharing this really helpful
@hilalahmed1005
@hilalahmed1005 5 лет назад
Resourceful information attained from Dr Kathleen. Thumbs up !!!
@AngeredYeti
@AngeredYeti 8 месяцев назад
Thank you very much! Thanks very much Larry too! Love from Alberta, Canada.
@TheKareba1
@TheKareba1 4 года назад
Thank you Mr. Larry :) such a nice man.
@caesarahad7706
@caesarahad7706 4 года назад
Respect for Dr.Poston mam! This will be helpful in exam.
@abdoelghrio9202
@abdoelghrio9202 4 месяца назад
Great video. Thank you, Dr and big thanks to Larry!!
@sandracora7788
@sandracora7788 3 месяца назад
Excellent video! Very informative! Best video I've see on parkinsons and symptoms! Thank you!
@samdunbar577
@samdunbar577 Год назад
Thank you so much Larry!
@amazinggrace5692
@amazinggrace5692 3 года назад
Thank you! My husband was diagnosed recently.
@suryakantpandit8431
@suryakantpandit8431 3 года назад
Excellent Madam ,one of the best video to evaluate the symptoms of PD.Regards.
@hibahassan3433
@hibahassan3433 4 года назад
Thanks doctor for clear explanation and thanks Larry for your time.
@alihadimajeed3372
@alihadimajeed3372 Год назад
i don’t know why, but out of no were, I just love this guy (Larry). wish u all the best sir.
@5dkdk
@5dkdk 5 лет назад
I was able to get a clear picture of what I knew vaguely. Thank you.
@StanfordMedicine25
@StanfordMedicine25 5 лет назад
Thanks for the comment!
@eletro_doc9529
@eletro_doc9529 4 года назад
I'm from Brazil. Thank you very much, it really added to my neurology lecture.
@tizziejames9040
@tizziejames9040 3 месяца назад
Very helpful. Thank you both so much.
@carmenlebron5777
@carmenlebron5777 2 года назад
Thank you! Thoughts and prayers for Larry 🙏❤️
@mdaktaruzzaman3168
@mdaktaruzzaman3168 3 года назад
Very very helpful. Thank you very much Dr for your excellent teaching. Best wishes for both of you.
@natthapoomsuphavejkornkij197
@natthapoomsuphavejkornkij197 5 лет назад
best description, Thank you
@karenhutchinson1330
@karenhutchinson1330 2 года назад
Amazing video. Very informative. Thank you
@abdulaimukaje5503
@abdulaimukaje5503 4 года назад
Thank you Doc for this wonderful video. A special thanks to Larry for agreeing to making this video.
@arashshamsaei728
@arashshamsaei728 4 года назад
Thank you so much for this amazing video. Big thanks and hug to both of you.
@jungermd
@jungermd 2 года назад
Well done. Thank you so much for the timely education.
@tolgakartal5029
@tolgakartal5029 Год назад
Thank you so much Larry for your kindness and let this video produced!
@orlandoreyes884
@orlandoreyes884 4 года назад
Excellent!! Thank you Dr.
@maherarabi7054
@maherarabi7054 Год назад
This is a great video. Thank you it is so clear and systematic.
@marieeysackers527
@marieeysackers527 4 года назад
Great explanation, just what I needed!
@wzwcat
@wzwcat 2 года назад
thanks so much for this video! Thanks for Larry! hope all the best for you!
@akhahmad7455
@akhahmad7455 2 месяца назад
Larry You are such a gem and a very graceful lady....Great explanation👏
@premiummedicinegaming5073
@premiummedicinegaming5073 2 года назад
beautiful doc with excellent clinical skills. wish you goodluck larry
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