Wednesday, September 23, 2009

ET v PD

Obvious-- age onset, duration, family history and response to ETOH
Subtle-- Body part affected                handwriting            associated signs     natural history
 
PD            hand, foot, chin lips            micrographic           +                        progressive
ET             hand, head, voice               tremor not micro      absent                insidious
 
Pearls 
1.  best position for postural tremor is fingers touching wings (elbows) up
2.  saying "ahhhh" shows rhythmical oscillation which is typical
 
 

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