Diagnostic Tests for Hand tremor
Diagnostic Test list for Hand tremor:
The list of diagnostic tests
mentioned in various sources as
used in the diagnosis of Hand tremor
- Physical examination
- Rapid pulse rate may indicate hyperthyroidism (especially if thyroid is enlarged) or caffeine sensitivity
- Paroxysmal elevation of blood pressure (may suggest phaeochromocytoma)
- Mini-mental state examination - if dementia is suspected test memory and cognitive function. If tremor is present with mental deterioration may suggest Wilson's disease or Parkinson's disease (late stages).
- Full neurological examination. If hyperactive reflexes or up going plantar reflex (Babinski sign) this may suggest multiple sclerosis. If symmetrical tremor with nil neurological signs would suggest a familial senile tremor
- Examine for signs of Parkinson's disease such as lack of facial expression, bent over posture, few spontaneous movements, shuffling gait, lack of normal arm swinging with walking, pill-rolling tremor (where movement of the knuckles are combined with movements of the thumb), increase tone of limbs, monotonous speech
- Observe for chorea (non- repetitive abrupt involuntary jerky movements), Kayser-Fleischer rings (a green-brown pigment around the circumference of the cornea) due to copper deposition, signs of chronic liver failure that may suggest Wilson's disease
- Examine for an enlarged liver which may suggest alcoholism or Wilson's disease
- Blood tests
- Alcohol screen
- Blood sugar (low blood sugar may cause tremor)
- Liver function tests
- Thyroid function tests (looking for hyperthyroidism)
- Serum copper and caeruloplasmin (may be reduced in Wilson's disease)
- Urine tests
- Urine drug screen
- 24 hour Urinary copper is increased in Wilson's disease
- Radiological investigations
- CT or MRI brain if suspect multiple sclerosis, Wilson's disease or a tumor of the cerebellum
- Electromyogram (EMG) - can be performed if there is doubt as to whether the tremor is resting or active.
- Spinal tap - may be required to diagnose multiple sclerosis.
- Electrophysiological tests such as visual-evoked response (VER) - may be required to diagnose Multiple sclerosis.
Home Diagnostic Testing
These home medical tests may be relevant to Hand tremor causes:
- Nerve Neuropathy: Related Home Testing:
- Brain & Neurological Disorders: Related Home Testing:
Conditions listing medical symptoms: Hand tremor:
The following list of conditions
have 'Hand tremor' or similar
listed as a symptom in our database.
This computer-generated list may be inaccurate or incomplete.
Always seek prompt professional medical advice about the cause
of any symptom.
Select from the following alphabetical view of conditions which
include a symptom of Hand tremor or choose View All.
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