Parkinson resident survival guide: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
Shown below is an algorithm summarizing the diagnosis of | Shown below is an [[Algorithm (medical)|algorithm]] summarizing the [[diagnosis]] of [[Gait abnormality|Gait disturbance]] according to the American Academy of Neurology guidelines:<ref name="pmid24132835">{{cite journal |vauthors=Giladi N, Horak FB, Hausdorff JM |title=Classification of gait disturbances: distinguishing between continuous and episodic changes |journal=Mov Disord |volume=28 |issue=11 |pages=1469–73 |date=September 2013 |pmid=24132835 |pmc=3859887 |doi=10.1002/mds.25672 |url=}}</ref> <br><br> | ||
{{ | |||
{{Family tree/start}} | |||
{{Family tree | | | | | | | | | | | | | | | | | | | | | | | | | | | | A01 | | | | A01= [[Gait]] disturbance }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | |}} | |||
{{Family tree | | | | | | | | | | | | | | | | | | | | | | | | | | | | B01 | | | B01= When? }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| | | | | | | | }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |,|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|.| | | }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | B01 | | | | | | | | B02 | | | | B03 | | B01= Always with [[Movement disorder|movement]] (may vary in severity) | B02= Intermittently during [[Movement disorder|movement]] (may vary in severity and frequency)| B03= Continuous and intermittent disturbances are present at least once }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |!| | | | | | | | | |!| | | | | |!| | | | }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | B01 | | | | | | | | B02 | | | | B03 | | B01= Continuous | B02= Episodic| B03= Mixed }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |!| | | | | | | | | |!| | | | | | }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |!| | | | | |,|-|-|-|+|-|-|-|.| | | }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |!| | | | | B01 | | B02 | | B03 | | B01= Transient inability to create effective stepping? | B02= Unintentional increase in [[speed]], usually with small steps? | B03= Transient [[imbalance]]? }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |!| | | | | |!| | | |!| | | |!| | }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |!| | | | | B01 | | B02 | | B03 | | B01= Freezing | B02= Festination | B03= [[Disequilibrium]] }} | |||
{{Family tree | | | | | | | | | | | | | | | | | | |!| | }} | |||
{{Family tree | | |,|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|.| | }} | |||
{{Family tree | | B01 | | B02 | | B03 | | B04 | | B05 | | B06 | | B07 | | B08 | | B09 | | B01= [[Disequilibrium]] and hypermetria of stance and [[gait]]? | B02= Associated with [[Postural instability|increased postural tone]]? | B03= Slow or small steps and/or slow or [[Postural instability|small postural]]? | B04= Involuntary [[Movement disorder|movements]]? | B05= Associated with [[muscle weakness]] or [[paralysis]]? | B06= Static or [[axial]] postural deformities? | B07= Secondary to [[musculoskeletal]] or central [[pain]]? | B08= Present at a higher level? | B09= Difficult to classify the continuous nature of the [[gait]] disturbance? }} | |||
{{Family tree | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }} | |||
{{Family tree | | B01 | | B02 | | B03 | | B04 | | B05 | | B06 | | B07 | | B08 | | B09 | | B01= [[Ataxic]] | B02= [[Spastic]] | B03= [[Bradykinesia|Bradykinetic]]/[[Hypokinesia|hypokinetic]] | B04= [[Dyskinesia|Dyskinetic]]/[[Chorea|Choreic]]/[[Dystonia|Dystonic]] |B05= [[Paresis|Paretic]] | B06=Trunkal disturbance | B07= Antalgic | B08=Frontal disturbance | B09=Undetermined }} | |||
{{Family tree/end}}<br> | |||
==Treatment== | ==Treatment== | ||
Shown below is an algorithm summarizing the treatment of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines. | Shown below is an algorithm summarizing the treatment of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines. | ||
Revision as of 23:05, 8 January 2021
| Resident Survival Guide |
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| Introduction |
| Team |
| Guide |
| Page Template |
| Examine the Patient Template |
| Navigation Bar Template |
| Checklist |
| Topics |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Diagnosis
Shown below is an algorithm summarizing the diagnosis of Gait disturbance according to the American Academy of Neurology guidelines:[1]
| Gait disturbance | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| When? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Always with movement (may vary in severity) | Intermittently during movement (may vary in severity and frequency) | Continuous and intermittent disturbances are present at least once | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Continuous | Episodic | Mixed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Transient inability to create effective stepping? | Unintentional increase in speed, usually with small steps? | Transient imbalance? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Freezing | Festination | Disequilibrium | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Disequilibrium and hypermetria of stance and gait? | Associated with increased postural tone? | Slow or small steps and/or slow or small postural? | Involuntary movements? | Associated with muscle weakness or paralysis? | Static or axial postural deformities? | Secondary to musculoskeletal or central pain? | Present at a higher level? | Difficult to classify the continuous nature of the gait disturbance? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Ataxic | Spastic | Bradykinetic/hypokinetic | Dyskinetic/Choreic/Dystonic | Paretic | Trunkal disturbance | Antalgic | Frontal disturbance | Undetermined | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ Giladi N, Horak FB, Hausdorff JM (September 2013). "Classification of gait disturbances: distinguishing between continuous and episodic changes". Mov Disord. 28 (11): 1469–73. doi:10.1002/mds.25672. PMC 3859887. PMID 24132835.