How to deal with tremour patients

Question 1

What are the charcteristics of essential tremour?

Answer 1

Bilateral hand tremour that tends to occur during voluntary movement
Low doses of alcohol can help

Question 2

How is essential tremour treated?

Answer 2

Mainstay of treatment is beta blockers

Question 3

What are some of the clinical features of parkinsons disease?

Answer 3

Motor:
-Tremour
-Bradykinesia
-Rigidity
-Postural instabilities
Non-motor:
-Cognitive impairment
-Psychiatric complications
-Behavioural dysfunction
-Autonomic dysfunction
-Sleep disturbance

Question 4

If the jaw is included in a tremour what does this indicate?

Answer 4

Parkinson’s

Question 5

What is the pharacological treatment in parkinson’s disease?

Answer 5

Levodopa - dopamine precursor
Dopamine agonists - Ropinirole
Apomorphine - Potent dopaine agonist
Anti-cholinergics
MOAB inhibitors e.g. rasagiline