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Rest Tremor

Aka: Rest Tremor
  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)

Concepts Sign or Symptom (T184)
MSH D014202
SnomedCT 25082004
English Rest tremor, Tremor Resting, resting tremor, resting tremor (physical finding), TREMOR RESTING, Rest Tremor, Rest Tremors, Resting Tremors, Tremor, Rest, Tremor, Resting, Tremors, Rest, Tremors, Resting, resting tremors, rest tremors, rest tremor, tremor resting, Resting tremor, Resting tremor (finding), rest; tremor, tremor; rest, Resting Tremor
Portuguese Tremor de Repouso
Spanish Temblor en Reposo, temblor durante el descanso (hallazgo), temblor durante el descanso
French Tremblement de repos
German Ruhetremor
Dutch rust; tremor, tremor; rust, Rusttremor
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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