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    Parkinsonism 0

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    kero
    This document provides guidance on key topics related to the management of parkinsonism. It identifies 6 priority topics: 1) distinguishing idiopathic Parkinson's disease from atypical forms, 2) involving other professionals to enhance patient function, 3) recognizing Parkinson's disease in elderly patients with functional decline, 4) using physical exams to distinguish tremors, 5) identifying medication side effects, and 6) ongoing assessment of patient function and monitoring for other common issues like depression and constipation. For each topic, it recommends specific articles and guidelines that provide more detailed information on diagnosis, treatment, and management.

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    Parkinsonism 0

    Uploaded by

    kero
    41 views3 pages
    This document provides guidance on key topics related to the management of parkinsonism. It identifies 6 priority topics: 1) distinguishing idiopathic Parkinson's disease from atypical forms, 2) involving other professionals to enhance patient function, 3) recognizing Parkinson's disease in elderly patients with functional decline, 4) using physical exams to distinguish tremors, 5) identifying medication side effects, and 6) ongoing assessment of patient function and monitoring for other common issues like depression and constipation. For each topic, it recommends specific articles and guidelines that provide more detailed information on diagnosis, treatment, and management.

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    This document provides guidance on key topics related to the management of parkinsonism. It identifies 6 priority topics: 1) distinguishing idiopathic Parkinson's disease from atypical forms, 2) involving other professionals to enhance patient function, 3) recognizing Parkinson's disease in elderly patients with functional decline, 4) using physical exams to distinguish tremors, 5) identifying medication side effects, and 6) ongoing assessment of patient function and monitoring for other common issues like depression and constipation. For each topic, it recommends specific articles and guidelines that provide more detailed information on diagnosis, treatment, and management.

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    41 views3 pages

    Parkinsonism 0

    Uploaded by

    kero
    This document provides guidance on key topics related to the management of parkinsonism. It identifies 6 priority topics: 1) distinguishing idiopathic Parkinson's disease from atypical forms, 2) involving other professionals to enhance patient function, 3) recognizing Parkinson's disease in elderly patients with functional decline, 4) using physical exams to distinguish tremors, 5) identifying medication side effects, and 6) ongoing assessment of patient function and monitoring for other common issues like depression and constipation. For each topic, it recommends specific articles and guidelines that provide more detailed information on diagnosis, treatment, and management.

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    July

    2018

    Priority Topic: PARKINSONISM

    Key Features:
    For a single source of info on this topic:

    Parkinson’s Disease in the clinic AIM 2012



    Parkinson’s Disease Primer NATURE 2017

    1. In paEents with suspected Parkinson’s disease, accurately disEnguish


    idiopathic Parkinson’s disease from atypical Parkinson’s disease (e.g., disease
    at a young age, drug-related disease), as treatment differs.

    What you should study:


    ✓ Atypical Parkinsonism DDx and Tx 2016

    Note the change in terminology: It is atypical parkinsonism not Atypical
    Parkinson’s Disease

    2. In the care of all paEents with Parkinson’s disease, involve other health care
    professionals to enhance the paEent’s funcEonal status.
    What you should study:
    ✓ MulEdisciplinary Care of PaEents with PD 2012
    ✓ Management of PD BMJ Infographic

    3. In an elderly paEent with a deterioraEon in funcEonal status, look for and
    recognize Parkinson’s disease when it is present, as it is a potenEally
    reversible contribuEon to the deterioraEon.

    What you should study:


    ✓ Parkinson Disease Primer NATURE 2017 see Pg 9 Box 1: Diagnos@c Criteria


    4. In a paEent with a tremor, do an appropriate physical examinaEon (e.g.,


    observaEon, use of techniques to enhance the tremor) to disEnguish the
    resEng tremor of parkinsonism from other (e.g., essenEal) tremors.

    What you should study:


    ✓ Tremor DifferenEal AAFP 2018

    5. As part of the management of paEents with Parkinson’s disease, idenEfy


    anEcipated side effects of medicaEons, especially those with which you are
    unfamiliar.
    * You should know how to treat Parkinson’s Disease

    What you should study:


    ✓ Pharmacological Management of PD JAMA 2014 Table 4
    ✓ Parkinson Disease Primer NATURE 2017 Pages 11-12 on Meds
    ✓ Management of PD BMJ Infographic
    6. As part of the ongoing follow-up care of paEents with Parkinson’s disease:

    - Assess funcEonal status. see also Priority Topics: Elderly, Demen@a

    - Monitor them for medicaEon side effects. see Key Feature 5

    - Look for other problems (e.g., depression, demenEa, falls, 



    consEpaEon), as they are more common

    What you should study:


    ✓ Geriatric Assessment AAFP 2011
    ✓ Non-motor Symptoms: Management of PD BMJ Infographic
    ✓ Parkinson Disease Primer NATURE 2017 

    see Figure 5: Clinical Symptoms associated with PD Progression
    ✓ Management of ConsEpaEon in Parkinson Disease NATURE 2018

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