General appearance | Evidence of not coping at home |
| Parkinsonian features eg rigidity, tremor |
| Depression |
| Thyroid status |
| Flushed, pyrexial |
Cardiovascular | Pulse including peripheral pulses |
| Lying and standing blood pressure |
| Source of emboli—heart rhythm, murmurs, and bruits |
Neuromuscular system | Lateralizing signs |
| Parkinson’s disease |
| Proximal muscle weakness |
| Gait—Get up and Go test3 |
Abdomen | Masses and constipation |
Infection | Chest auscultation |
| Urine dipstick |
Mental test score | Hodkinson AMT4 (see box 4) |
Tests | 12 lead ECG |
| BM stix |
| Urine dipstick |