4 Flashcards
most common movement disorder seen in Primary care practices.
tremors
tremor is described by 3 words
involuntary
rhthmic
oscillitory movement
Tremor in older patients and gradual onset more likely to b what
PD
essential tremor
sudden onset tremors are more likely to be
psychogenic, caused by meds or toxins
what should you do if you see a pt who exhibits PD like sx:
ask: do you think this could be PD. sometimes they just need you to breing it up
_____ tremors are the MOST COMMON pathological tremors
essential; in 95% of people they are bilateral, kinetic and most common in hands and wrists
inherited and increase with age
o 3. Be able to describe how a psychogenic tremor differs from a tremor of organic (real) origin.
psuchogenic tremors are most common in who
abrupt onset, spontaneous remission, location and frequency of tumor change, tremor gets worse when paying attention to it and goes away when not thinking of it.
o
Most often seen in: allied health professionals and lawyers
o Most common form idiopathic diases (1% of population)
parkinsons
describe tremor in those with parkinsons
resting tremor that gets better with action (70% of pts have it) Classic tremor starts as a [pill-rolling motion] in FINGERS
PD tremor vs essential tremor
PD: resting tremor that increases when walking; decreases with posture holding or action; assymetric; micrographi (less common 1%
ET: tremor that occurs when holding posture or doing in action (*** most common)
symmetrical (bilateral), writing is tremulus large
30-50% of ppl
no other neuro signs
No other neruo signs, but 25% of those with it retire early or switch carrer path bc of social embarrassment
what is the tremor
essential
what makes resting tremors better and worse
worse: stress or move another part of body, like walking
better: move that body part
