Diagnosing idiopathic Parkinson's disease (GLX-0004)
In this module, you will learn how to identify the key features of idiopathic Parkinson’s disease, including differentiating between a Parkinsonian tremor and other tremor types. You will have the opportunity to test your new-found skills using patient videos in a variety of activities. We highlight the red flags to look for in a person you suspect may have Parkinson’s disease and provide you with a decision tree to help you make a provisional diagnosis. Our expert will then guide you through making a provisional diagnosis using a series of cases.
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Learning Objectives:
- Be able to identify key features of a Parkinsonian tremor
- Be able to distinguish between a Parkinsonian tremor and other common tremor types
- Be familiar with the criteria used to form a diagnosis of idiopathic Parkinson’s disease
- Be able to identify the signs and symptoms of idiopathic Parkinson’s disease
- Be able to differentially diagnose idiopathic Parkinson’s disease
- Be able to make a provisional diagnosis for idiopathic Parkinson’s disease
- Know how to support patients while waiting for a definite diagnosis
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This online training program has been developed by the Medeserv education team, in partnership with A/Prof Martin Krause and Parkinson’s Australia. Parkinson’s Australia is the national voice for Australians living with Parkinson’s disease. The organisation strives to ease the burden and find a cure through advocacy, education, support services and research.
This project was funded by the Commonwealth Department of Health and Ageing and John T Reid Charitable Trusts.
Content author and expert presenter
Associate Professor Martin Krause
A/Prof Martin Krause graduated in 1995 from the medical school of the Ruprecht-Karls University of Heidelberg in south-western Germany, one of the oldest faculties in the world (founded in the 14th century). He completed his medical training at the University Clinics of Heidelberg.
Dr Krause’s scientific interests are movement disorders especially Parkinson’s disease, dystonia, and tremor. In 1996 he joined the research group of Professor Volker Tronnier, who was one of the first stereotactic neurosurgeons in Germany to use Deep Brain Stimulation for the treatment of chronic pain and movement disorders. This research group was one of the first to prove Deep Brain Stimulation to be an effective treatment of generalized dystonia.
Dr Krause is a founding member of the German Parkinson Society. He participated in the German Competence Network of Parkinson’s disease and was involved in the development of the German therapeutic guidelines for Parkinson’s disease. In 2006, he joined the Westmead Movement Disorder Research Group for a sabbatical research program investigating the effect of deep brain lesions on motor behaviour. In September 2007, he accepted the appointment as Associate Professor of Neurology in the medical faculty of the University of Sydney at Nepean Clinical School. Dr Krause has published over 25 scientific articles in international medical journals including three articles in the New England Journal of Medicine.
Educators
Janine Roberts
Iain Packer
Education methodology and design
Professor Lynn Robinson is Director of Education Innovation in the Centre for Health Innovations and Solutions, The University of Queensland.
Significant contributor and audience representative:
Dr Natalie Burch (GP)
Dr Natalie Burch (B.Sc., M.B.B.S., DRANZCOG, FRACGP) works as a rural general practitioner in Scottsdale, Tasmania. Her special interests in medicine include mental health, family planning and low risk obstetrics, minor surgery and emergencies.
Acknowledgement
A sincere thank you to Professor John GL Morris for generously providing us with the use of his patient videos.
We gratefully acknowledge the patients who generously volunteered to be part of this project.
Note: Dr Bob is a hypothetical GP and is used as an educational device. Dr Bob's opinions are his own (sometimes excellent, sometimes questionable) and in no way represent an authority.
References:
[1] National Health Service (NHS) and Royal College of Physicians. Parkinson’s disease: national clinical guideline for diagnosis and management in primary and secondary care (NICE Guidelines). London: Royal College of Physicians; 2006. Viewed on 02/12/2008, at: www.nice.org.uk/nicemedia/pdf/cg035niceguideline.pdf
[2] Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology 1967;17(5):427-42.
[3] Gibb WR, Lees AJ. The relevance of the Lewy body to the pathogenesis of idiopathic Parkinson's disease. J Neurol Neurosurg Psychiatry 1988;51(6):745-52.
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| Time: |
1 hour 50 minutes |
| Catalogued by: |
- Clinical knowledge and skills
- Clinical continuum
- Diagnosis including undifferentiated presentations
- RACGP Domains of General Practice
- Applied professional knowledge and skills
- ACRRM Educational Domains and Curriculum Areas of Rural & Remote Medicine
- Rural and remote context (Domain)
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