Symptom Finder - Tremor
The examination of a patient presenting with tremor begins by looking for a thyroid mass, diaphoresis, exophthalmos, and tachycardia. After all, this is something the physician can “cure.” Then one looks for cogwheel rigidity, a short-stepped gait, mask facies, and monotonous speech, which are all signs of Parkinsonism. If a tremor is absent at rest and occurs primarily in motion or during a finger-to-nose test, it is most likely
familial. Tremor on one side of the body associated with hemianalgesia and hemihypesthesia is due to a thalamic syndrome (occlusion of the
thalamogeniculate artery). Look for hepatomegaly and a Kayser–Fleischer ring in the cornea in younger people with tremor to rule out Wilson
disease. A unilateral intention tremor associated with ataxia may indicate a cerebellar tumor.
familial. Tremor on one side of the body associated with hemianalgesia and hemihypesthesia is due to a thalamic syndrome (occlusion of the
thalamogeniculate artery). Look for hepatomegaly and a Kayser–Fleischer ring in the cornea in younger people with tremor to rule out Wilson
disease. A unilateral intention tremor associated with ataxia may indicate a cerebellar tumor.