Essential Tremor

Question 1

task

Answer 1

124/540 MURTHG

Question 2

d/d

Answer 2

COMMON
\benign essential tremor
-senility
-physiological
-Parkinson disease (including drug-induced PD)
Functional or psychogenic, e.g. anxiety/emotional
Alcoho
SERIOUS DISORDERS NOT TO MISS
Vascular:
cerebral infarction → Parkinsonism
Infection:
meningoencephalitis
tertiary syphilis
Cancer/tumour:
cerebral tumour (frontal lobe)
Other:
toxicity from organ failure (kidney, liver, lungs)

Question 3

hx

Answer 3

-tell me a little more about the tremor
-how long?is it here at rest?any head bobbing?relieving factors?exacerbating factors?effecting day today work?shakiness of voice?
-any stiffness?trouble walking?control the shakes?trouble turiningninbed?
-do you feel like you are tensed/anxious?
-CNS/RS/CVS/GIT questions
-ENDOCRINE
SADMA
FHX/PMHX

Question 4

PEFE

Answer 4

-hepatomegally and genral stigmata of liver disease
-CNS : cerebellar signs, muscle tone
-cvs: tachycardia rhtym

Question 5

ix

Answer 5

-lft, fbe, tft