Tremor resident survival guide
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usman Ali Akbar, M.B.B.S.[2]
Synonyms and keywords:
| Tremors resident survival guide Microchapters |
|---|
| Overview |
| Causes |
| FIRE |
| Diagnosis |
| Treatment |
| Do's |
| Don'ts |
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
| Postural Tremors | Resting Tremors | Intention Tremors | Complex Tremors |
|---|---|---|---|
| Postural tremor occurs when the patient maintains a specific posture such as holding the arms outstretched or while standing. | Rest tremor presents as the affected body part fully supported against gravity. It occurs at rest and can be abolished during voluntary activity. | characterized by a crescendo increase in tremor as the affected body part approaches its target | |
| Alcohol & drug withdrawl | Drug-induced parkinsonism | Holmes' tremor (midbrain, red nucleus, rubral, or thalamic tremor)
| |
Metabolic causes
|
Parkinson's disease | Cerebellar lesions:
|
Neuropathic tremor:
•Chronic relapsing polyneuropathy •Guillain-Barré syndrome •Diabetes •IgM neuropathy |
| Essential Tremors: Essential tremor Progressively persistent coarse or fine, slow (4–8 Hz) tremor, usually symmetric and affecting both upper extremities and sometimes the head and voice, particularly in patients with a family history of tremor | Progressive supranuclear palsy | Drug-induced | Psychogenic tremor
Wilson's disease |
| Physiological Tremor :Fine, rapid (8–13 Hz) tremor that occurs in otherwise healthy people and may be enhanced by certain drugs or conditions
Usually, suppression of tremor with low doses of alcohol and other sedatives |
FIRE: Focused Initial Rapid Evaluation
| Paitent presenting with new-onset tremors | |||||||||||||||||||||||||||
| Is the tremor physiological in nature? | |||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||
| Rule out anxiety, Excessive Caffine intake,blood glucose level,thyroid function tests | E02 | ||||||||||||||||||||||||||
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.