CLINICAL-ESSENTIAL TREMOR

SUMMARY

1. Essential tremor is the most common type of non-physiologic tremor and is often familial.

2. It affects the hands as a postural and action tremor with a frequency of 4-8 Hz.

3. Typically benign but sometimes results in functional disability.

4. Patients tell you that their tremor improves after an alcoholic drink.

5. Propranolol and primidone are effective in reducing the limb tremors.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].