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Rest Tremor

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  1. Symptoms
    1. Tremor characteristics
      1. Low to moderate frequency: 3 to 6 Hz
      2. High amplitude
    2. Patient attempts to maintain body position at rest
      1. Tremor occurs despite rest position
      2. Limb is completely supported against gravity
      3. Example: Hand Tremor while resting on lap
    3. Provocative factors (increases Tremor amplitude)
      1. Mental stress (e.g. Serial 7s)
    4. Palliative factors (decreases Tremor amplitude)
      1. Goal-directed movement (e.g. finger-nose-finger)
  2. Examination
    1. See Parkinson's Disease
    2. Passively flex and extend arms for cogwheel rigidity
    3. Observe for shuffling gait
  3. Causes
    1. Parkinson's Disease
    2. Multiple-Systems atrophy
    3. Progressive Supranuclear palsy
    4. Drug-Induced Tremor
      1. Neuroleptic medications
      2. Metoclopramide (Reglan)
    5. Rubral Tremor
    6. Psychogenic Tremor
  4. Management
    1. Levodopa-Carbidopa (Sinemet)
    2. Anticholinergics
    3. Other antiparkinson Meds
    4. Deep brain stimulation
    5. Pallidotomy
    6. Thalamotomy

Resting Tremor (C0234379)

ConceptsSign or Symptom (T184)
MSHD014202
EnglishRest tremor, Rest Tremors, Resting Tremor, Resting Tremors, Tremor Resting
Spanishtemblor durante el descanso
Parent ConceptsTremor (C0040822)
SourcesMSH, OMIM, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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