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A 68 year old man comes to your offic complaining of a hand tremor. The tremor becomes worse with voluntary movement. he notes that it improves with alcohol consumption. On physical exam, the tremor is coarse in nature. What is the most likely cause of this patient's tremor?
A. Parkinson's disease.
B. Alcoholic neuropathy.
*C. Benign familial tremor.
D. Intention tremor.
E. Huntington's chorea
how do u classify and distinguish these three tremors
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not really good in this topic!!!!!!!!
waiting for some one to post a nice distinguishing features
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Resting or static tremors -- occur when your hand or affected body part is at rest.
Intention tremors -- occur when you are moving your hand or affected body part and disappear at rest.
Postural tremors -- occur when you are holding your hand or affected body part in a particular position for a period of time.
Essential tremor is common in older people. Essential tremor is rarely present when the hands are not being used. It becomes most apparent when the affected person is trying to do something, like reaching for an object or writing. It is not caused by an underlying disease.
#Essential tremor of the hands typically occurs when your hands are in use. Tremors from Parkinson's are most prominent when your hands are at your sides or resting in your lap.
#Essential tremor doesn't cause other health problems, whereas Parkinson's is associated with a stooped posture, reduced rigid limbs, slow movement, a shuffling gait, speech problems other than tremor and sometimes memory loss.
#Essential tremor can involve your hands, head and voice. Tremors from Parkinson's typically affect your hands, but not your head or voice.
Another common type of tremor is called familial tremor which, as the name implies, tend to run in families.
Both essential and familial tremors may be suppressed by drinking alcohol. This is a useful fact for making the diagnosis, but alcohol is not a desirable treatment.
Multiple sclerosis -- can cause an intention tremor
Over active thyroid -- can cause a postural tremor
