Tremor

Physiologic Tremor

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Physiologic Tremor, Enhanced Physiologic Tremor

  • Exam
  • Findings
  1. Postural Tremor
  2. Normal variant (present in most normal patients)
  3. Example: Hold paper with outstretched arm
  4. Characteristics
    1. Low amplitude
    2. Frequency
      1. Hands: Rapid (8-12 Hz)
      2. Other parts: Intermediate (6.5 Hz)
  • History
  • Palliative factors reducing Tremor
  • Labs
  • Not indicated unless atypical case or severe Tremor
  1. Chemistry Panel including Glucose
  2. Liver Function Tests
  3. Thyroid Stimulating Hormone (TSH)
  • Management
  1. Eliminate exacerbating factors
  2. Decrease Caffeine