1
Q
How does a Parkinsonian tremor present ?
A
Unilateral
Worse on rest
2
Q
How does an essential tremor present?
A
Bilateral
Worse when trying to do things with hands e.g. cups
3
Q
How would you diagnose ET or PD?
A
Examination and history
4
Q
What is a DaT scan?
A
Used to diagnose hyperthyroidism causing tremors ??
5
Q
Describe physiological tremor
A
Fine
Fast
Postural tremor
6
Q
Describe essential tremor
A
Titubation (head nodding)
FH - autosomal dominant
Postural - worse when arms are outstretched
7
Q
What improves an essential tremor?
A
Alcohol and rest
8
Q
Describe a parkinsonian tremor
A
Slow Coarse Pill-rolling Worse at rest reduced with voluntary movement
9
Q
Parkinsonian tremor - symmetrical or unilateral?
A
Asymmetrical
10
Q
What does an intention tremor suggest?
A
Cerebellar pathology
Year 3 - Neuro
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