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Recap of our discussion about PD physical exam: Unified Parkinson Disease Score 1) Finger tap 2)

Heel Tap 3) Bulb turning (protonation, supination) 4) Applause sign 5) Fist making - Looking for
fatiguability and amplitude and commenting on Asymmetry. Please make sure to read on the
extrapyramidal symptoms of PD and other causes of Parkinsonism. Make sure to exclude at the end
your physical exam that you would like to complete the exam by 1) Doing a full cranial nerve, UL & LL
neurological exam 2) Taking a standing, lying BP 3) Taking for anosmia 4) Completing an MMSE to
r/o associated dementia 5) Testing for micrographia 6) Going through the Kardex to r/o Parkinsonism
secondary to medications 7) Inquiring about constipation

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