Tremor

Question 1

parkinsonism tremor

Answer 1

• resting, ‘pill-rolling’ tremor
• bradykinesia
• rigidity
• flexed posture, short, shuffling steps
• micrographia
• ‘mask-like’ face
• depression

Question 2

esstenial tremor

Answer 2

• postural tremor = worse if arms outstretched
• improved by alcohol and rest
• titubation
• often strong family history

Question 3

anxiety tremor

Answer 3

history of depression

Question 4

thyrotoxicosis tremor

Answer 4

usual thyroid signs - e.g. weight loss, tachycardia, feeling hot

Question 5

hepatic encephalopathy tremor

Answer 5

history of chronic liver disease

Question 6

carbon dioxide retention tremor

Answer 6

history of chronic obstructive pulmonary disease

Question 7

cerebellar disease tremor

Answer 7

• intention tremor
• cerebellar signs - e.g. past-pointing, nystagmus