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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 includes:

  • 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:

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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