II. 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)

IV. History: Palliative factors reducing Tremor

V. Labs: Not indicated unless atypical case or severe Tremor

  1. Chemistry Panel including Glucose
  2. Liver Function Tests
  3. Thyroid Stimulating Hormone (TSH)

VI. Management

  1. Eliminate exacerbating factors
  2. Decrease Caffeine

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