TREMOR

hereditary:

benign essential tremor [any age; autosomal dominant; postural or intentional and disappears at rest; not progressive; made better by alcohol and beta-blockers]

senile:

'essential senile tremor' (postural tremor)

exaggeration of physiological tremor:

anxiety

hyperthyroidism

phaeochromocytoma

hypoglycaemia

delirium tremens (alcohol withdrawal)

dopamine antagonism or deficiency:

tardive dyskinesia (psychotropic drugs with antidopaminergic effects)

parkinsonism ('pill-rolling' tremor; at rest)

flapping tremor:

respiratory failure

liver failure

renal failure

intention tremor:

cerebellar lesions

drugs (causing action tremor):

opiate withdrawal

caffeine

barbiturate toxicity (chronic intake)

lithium

beta-agonists

chronic mercury poisoning ('hatter's shakes')

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