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August 2020 -
Volume 18, Issue 8

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Pattern and Frequency of Hospital Acquired Infections in Pediatric Intensive Care Unit at Abha Maternity and Children Hospital, Saudi Arabia
[Abstract]
[pdf]
Mohamad M. Almasadi, Saleh M. Al-Qahtani, Ibrahim Alhelali, Njood Alwadei, Asmahan Aasiri, Maryam Alnabhan, Fatmah Alassiri, Kholoud Alomar
DOI: 10.5742MEWFM.2020.93839

Emergency Physician Practice of laboratory tests requesting at King Faisal Hospital Taif, KSA, 2020
[Abstract]
[pdf]
Abdulsalam Alshehri , Maryam A. Alzaylaee, Afnan S. ALgethami, Amjad W. Alotaibi, Hessa A. Alshahrani, Shumukh K, Aburukbah
DOI: 10.5742MEWFM.2020.93840

The most desired values of high and low density lipoproteins and triglycerides in the plasma
[Abstract]
[pdf]
Mehmet Rami Helvaci, Mustafa Yaprak, Necmetin Tasci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93842

Quality of life of older patients attending a general hospital in Baghdad/Iraq
[Abstract]
[pdf]
Maha Sulaiman Younis
DOI: 10.5742MEWFM.2020.93841

Physical activity profile among Saudi adults in Abha City, Saudi Arabia
[Abstract]
[pdf]
Yousef Hussain Al Zahib, Hammam Baarimah
DOI: 10.5742MEWFM.2020.93843

Coronavirus Environment vs Socio-Economic and Demographic Problems Followed: A Sociological Appraisal
[Abstract]
[pdf]
Mohammad Taghi Sheykhi
DOI: 10.5742MEWFM.2020.93844

Flexible intramedullary nails for treatment of femoral shaft fracture in children, Aden, Yemen
[Abstract]
[pdf]
Abdulsalam Abdullah Hadi Mohsen
DOI: 10.5742MEWFM.2020.93845

Sodium-Glucose Cotransporter 2 Inhibitors and its Renal benefits in type 2 diabetes. A Systematic Review
[Abstract]
[pdf]
Saad Ur Rehman, Faiqa Rahman
DOI: 10.5742MEWFM.2020.93846

Parkinson's Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management. Part 4 : Differential Diagnosis and Patient Assessment
[Abstract]
[pdf]
Abdulrazak Abyad
DOI: 10.5742MEWFM.2020.93847

Bloodstream infection with Kocuria rhizophila: A case report and review of literature
[Abstract]
[pdf]
Njood M. Alwadei, Ibrahim Alhelali, Moustafa S Mohame
DOI: 10.5742MEWFM.2020.93848

Knowledge, attitudes and awareness of women about the long and short-term effects of a caesarean section for mothers and children in Taif, KSA, 2020
[Abstract]
[pdf]
Ashwaq K. Al-Harthi, Shumukh K. Aburukbah , Afnan S. Algethami , Faten A. Kaabi ,
Abdullah M. Altalhi, Maryam A. Alzaylaee
DOI: 10.5742MEWFM.2020.93849


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
August 2020 - Volume 18, Issue 8

Parkinson’s Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management
Part 4 : Differential Diagnosis and Patient Assessment

Abdulrazak Abyad

Correspondence:
A. Abyad, MD, MPH, MBA, DBA, AGSF , AFCHSE
CEO, Abyad Medical Center, Lebanon.
Chairman, Middle-East Academy for Medicine of Aging
President, Middle East & North Africa Association on Aging & Alzheimer’s
Coordinator, Middle-East Primary Care Research Network
Coordinator, Middle-East Network on Aging
Email: aabyad@cyberia.net.lb

Received: June 2020; Accepted: July 2020; Published: August 1, 2020. Citation: Abdulrazak Abyad. Parkinson’s Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management. Part 4 : Differential Diagnosis and Patient Assessment. World Family Medicine. 2020; 18(8): 69-74 DOI: 10.5742MEWFM.2020.93847

Abstract


Early symptoms of PD are subtle and occur gradually. Patients may be tired, or experience a general malaise. Many may feel a little nervous or may have trouble getting out of a chair. We can note that they talk too softly or that they look messy and spidery in their handwriting. They may lose track of a word or thought or they may, for no obvious cause, feel irritable or discouraged. This early period can last a long time before the symptoms appear more classic and obvious. The onset of symptoms will take several years to go unnoticed. Symptoms usually impact only one side of the body for one or two years, then move to the other side. Tremor is always first detected, which usually causes the doctor’s first appointment. Nevertheless, there is no tremor in up to 30 per cent of patients; this may lead to a misdiagnosis. In this review the approach to assessment and differential diagnosis of Parkinson disease are discussed.|

Key words: Parkinson’s disease, differential diagnosis, patient assessment

 







 


 
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