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A 25-year-old man with a high-frequency fine tremor that may be
difficult to see grossly has
a. Parkinson™s disease
b. Essential tremor
c. Asterixis
d. Hyperthyroidism
e. Drug-related tremor
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ans DDDDD
The tremor
of hyperthyroidism is very high frequency and fine, unlike the tremors of
Parkinsonism, asterixis, essential, and drug related. It does not depend on
rest or movement. The tremor of Parkinson™s disease is a coarse resting
tremor that decreases with intentional movement. Cogwheel rigidity is also
seen. In hepatic encephalopathy, the œflapping tremor of asterixis is seen.
Drug-related tremors are usually seen with β-2 agonists and methylxanthines.
These are frequently of abrupt onset and time related to the usage
or dosage adjustment with these medications.