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Hand tremor Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Hand tremor. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the hand tremor?

    Why: to determine if acute or chronic.

  2. Is it unilateral or bilateral?
  3. Is it intermittent or constant?
  4. What makes the tremor occur or worse?

    Why: e.g. an Intention tremor occurs on hand movement and increases towards the target and suggests a familial (benign essential tremor) or senile tremor, cerebellar disease, multiple sclerosis, Wilson's disease, hereditary familial ataxia, alcoholism, alcohol withdrawal. A tremor occurring at rest would suggest Parkinson's disease or manganese poisoning. A fine tremor of the outstretched hands would suggest hyperthyroidism.

  5. Age of the person with tremor?

    Why: if elderly and tremor is symmetrical and not associated with any other neurological symptoms or signs, this would usually suggest senile tremor.

  6. Medications?

    Why: e.g. lithium, sodium valproate, dexedrine and bronchodilators such as ventolin may cause tremor; some medications may cause drug- induced Parkinsonism such as phenothiazines,and reserpine.

  7. Illicit drugs?

    Why: e.g. narcotic and cocaine withdrawal may cause tremor.

  8. Alcohol history?

    Why: e.g. alcoholism or alcohol withdrawal may cause tremor.

  9. Possible poisoning?

    Why: e.g. mercury poisoning may cause a tremor.

  10. Family history of intention tremor?

    Why: usually suggest familial tremor (Benign essential tremor).

  11. Family history?

    Why: e.g. Wilson's disease, Parkinson's disease, Multiple sclerosis.

  12. Dementia?

    Why: may suggest Wilson's disease, late stages of Parkinson's disease or Alzheimer's dementia.

  13. Symptoms of Parkinson's disease?

    Why: e.g. coarse hand tremor most marked at rest, rigidity of limbs, slowness in initiating and executing movements and speech, expressionless mask-like face and dementia (in later stages).

  14. Symptoms of Wilson's disease?

    Why: e.g. tremor, difficulty with speech, chorea (involuntary movements) and eventually dementia.

  15. Symptoms of anxiety?

    Why: e.g. nervousness, shakiness, tremor, restlessness, irritability, insomnia, poor concentration, heart palpitations, racing heart, sweating, dizziness, diarrhea, lump in throat and frequency of urination.

  16. Symptoms of Phaeochromocytoma?

    Why: e.g. paroxysmal episodes of headache, pallor, sweating, chest tightness, tremor and heart palpitations.

  17. Symptoms of disease of the cerebellum?

    Why: e.g. clumsiness, lack of coordination, staggering towards one side when walking, nystagmus (jerky horizontal movements of the eyeballs), jerky explosive and loud speech, intention tremor , reduced tone of the limb muscles.

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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