Tremor resident survival guide

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usman Ali Akbar, M.B.B.S.[2]

Synonyms and keywords:

Tremors resident survival guide Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Postural Tremors	Resting Tremors	Intention Tremors	Complex Tremors
Postural tremor occurs when the patient maintains a specific posture such as holding the arms outstretched or while standing.	Rest tremor presents as the affected body part fully supported against gravity. It occurs at rest and can be abolished during voluntary activity.	characterized by a crescendo increase in tremor as the affected body part approaches its target
Alcohol & drug withdrawl	Drug-induced parkinsonism		Holmes' tremor (midbrain, red nucleus, rubral, or thalamic tremor)
Metabolic causes Parkinson disease Parkinsonian syndromes Midbrain (rubral) tremor Wilson disease Severe essential tremor	Parkinson's disease	Cerebellar lesions: Friedreich's ataxia Hemorrhage Multiple sclerosis Spinocerebellar degeneration Stroke Tumor	Neuropathic tremor: •Chronic relapsing polyneuropathy •Guillain-Barré syndrome •Diabetes •IgM neuropathy
Essential Tremors: Essential tremor Progressively persistent coarse or fine, slow (4–8 Hz) tremor, usually symmetric and affecting both upper extremities and sometimes the head and voice, particularly in patients with a family history of tremor	Progressive supranuclear palsy	Drug-induced	Psychogenic tremor Wilson's disease
Physiological Tremor :Fine, rapid (8–13 Hz) tremor that occurs in otherwise healthy people and may be enhanced by certain drugs or conditions Usually, suppression of tremor with low doses of alcohol and other sedatives

FIRE: Focused Initial Rapid Evaluation

Paitent presenting with new-onset tremors

Is the tremor physiological in nature?

Yes

No

Rule out anxiety, Excessive Caffine intake,blood glucose level,thyroid function tests

Medication Associated Tremor?

Yes

No

Trial off medication

Relieved by distraction?

Yes

No

Psychiatric Evaluation

Rule out Organic Cause

Diagnosis

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Do's

• The content in this section is in bullet points.

Don'ts

• The content in this section is in bullet points.