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The Waiting Room: neurological observations made outside the movement disorder specialist's consulting office

Araújo, R; van de Warrenburg, B; Lang, A; Lees, A; Bloem, B; (2019) The Waiting Room: neurological observations made outside the movement disorder specialist's consulting office. Practical Neurology 10.1136/practneurol-2018-002110. (In press). Green open access

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Abstract

The neurological examination should always begin before the patient enters the doctor's office. Movement disorders in particular lend themselves to a spot diagnosis. In today's busy buzzing world, it seems wasteful not to make use of the various diagnostic clues that can be picked up readily while the patient is still in the waiting room. We present several illustrative examples, drawn from the literature and from our own experience. These are divided according to the different waiting room 'stages': the patient sitting in the waiting room, the response on being summoned to enter the consulting room-including rising from the chair, exchanging initial pleasantries and the way of walking. We also discuss the importance of paying attention to the patient's behaviour, clothing, posture, breathing patterns, facial expression and major gait abnormalities.

Type: Article
Title: The Waiting Room: neurological observations made outside the movement disorder specialist's consulting office
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/practneurol-2018-002110
Publisher version: http://dx.doi.org/10.1136/practneurol-2018-002110
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: clinical neurology, examination, movement disorders, waiting room
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Movement Neurosciences
URI: https://discovery.ucl.ac.uk/id/eprint/10071719
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