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Im dr. Kathleen Poston from the Department of Neurology here at Stanford University Im a Parkinsons disease specialist and today were gonna be talking about approach to the Parkinsons disease exam Im here with my patient Larry who has graciously agreed to be part of this teaching session so today were gonna be talking about the approach to the Parkinsons disease exam were gonna be focusing on the four primary elements of the exam the first one is brady kinesia and its the first and most important because you have to have brady kinesia in order to give a diagnosis of parkinsonism the other three elements rigidity tremor and gating balance problems also are very important but you dont have to have them to make the diagnosis of parkinsonism you have to have brady kinesia and one of those other three so were gonna go through all four of the elements and break them down into their parts were gonna be talking about the four main elements of the exam but a fifth part of the exam
