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    A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis
    A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis
    A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis
    Ebook75 pages34 minutes

    A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis

    By Kenneth Kee

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    About this ebook

    Hand Tremors

    I have seen so many hand tremors in my many years of medical practice.

    Most of them are very obvious in some stroke and old people.

    Hand tremors are important especially when the tremors affect the muscle functions of their hands.

    One patient was so affected by her tremors that she could not use her scissors to cut hair as a hairdresser. One time the scissors nearly dropped into her customer’s lap while cutting her hairs.

    That was when she came for a checkup and she was found to have a late and severe hyperthyroid condition. She improved after treatment and is back at her hairdressing job.

    What are Hand Tremors?

    A hand tremor is an involuntary, muscle contraction and relaxation involving to-and-fro movements (twitching) of the hands and fingers.

    The best way to demonstrate a hand tremor is by placing a piece of paper on the outstretched fingers.

    Slight movement of the paper is within normal physiological finger movements but shaking of the paper is obvious sign of tremors.

    Tremor can be a symptom due to neurological disorders in those parts of the brain that control muscles throughout the body or in particular areas such as the hands.

    There are 4 common tremors:

    1. The resting tremors “pill rolling” movements of Parkinson Disease.

    This type of tremors is maximal at rest and with emotion but inhibited by movement.

    It is typical of Parkinson’s Disease.

    2. Essential tremor.
    This is an accentuation of normal physiological tremors which is present at rest and brought out by placing a piece of paper on the outstretched fingers.

    a. It occurs in Thyrotoxicosis where it is associated with warm moist palms, exophthalmos and tachycardia.

    b. Anxiety states may produce a similar tremor without the exophthalmos.

    c. It also runs in families.

    d. In alcoholics the tremor is often reduced by the ethanol and exacerbated by its withdrawal.

    e. Taking caffeine may also bring out these tremors.

    f. Certain drugs such as antidepressants, adrenergic, anticholinerigics, and xanthines

    g. Cigarette withdrawal can also cause the tremors.

    h. Low blood sugar together with cold sweats and chills can also cause the tremors

    i. It also increases with age (Aging)

    3. The Intention tremor of Cerebellar disease (finger-nose test)

    It can occur in neurologically disease of the cerebellum especially if a stroke is affecting the cerebellar region.

    It is reduced or absent at rest.

    It is also associated with past-pointing, nystagmus and ataxia including truncal ataxia.

    It is rare except in Multiple sclerosis.

    4. Flapping tremor occurs in hepatic precoma and in the carbon dioxide retention of respiratory failure.

    What is the treatment of Hand Tremors?

    Treatment
    There is no cure for most hand tremors.
    Treatment may not be needed unless the tremor interferes with the daily activities or causes embarrassment.

    The treatment depends on diagnosis of the cause.

    Hand tremors respond to treatment of the underlying condition. Tremor caused by a medical condition such as hyperthyroidism will become better when the condition is treated.

    If the tremor is caused by a certain medicine, stopping the drug will usually help it go away.

    Non- Medical treatment:

    1. Physiotherapy
    A physiotherapist will test the patient for tremor positioning, muscle control and strength.

    The patient must be taught to brace the affected hand during the tremor

    He can also keep the affected arm close to the body in order to gain motion control.

    Coordination and balancing exercises may help some patients.

    2. Avoid caffeine and alcohol.

    3. Psychological treatment

    Medications

    Medicines may help relieve symptoms.

    TABLE OF CONTENT
    Chapter 1 Hand Tremors

    Chapter 2 Disease Diagnosis

    Chapter 3 Parkinson Diseas

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJul 17, 2013
    ISBN9781301772704
    A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      A Simple Guide to Hand Tremors, Related Diseases and Use in Disease Diagnosis - Kenneth Kee

      A

      Simple

      Guide

      to

      Hand Tremors,

      Related Diseases

      And

      Use in Diagnosis of Diseases

      by

      Dr Kenneth Kee

      M.B., B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2013 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      to my wife Dorothy

      and my children

      Carolyn, Grace

      and Kelvin

      This book describes the symptom Hand Tremors and the Its Use in Diseases Diagnosis such as Parkinson Disease, Cerebellar Disease, Hyperthyroidism, Anxiety, Alcoholism, Liver Disease and other Diseases which are seen in some of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Chapter 1

      Hand Tremors

      I have seen so many hand tremors in my many years of medical practice.

      Most of them are very obvious in some stroke and old people.

      Hand tremors are important especially when the tremors affect the muscle functions of their hands.

      One patient was so affected by her tremors that she could not use her scissors to cut hair as a hairdresser. One time the scissors nearly dropped into her customer’s lap while cutting her hairs.

      That was when she came for a checkup and she was found to have a late and severe hyperthyroid condition. She improved after treatment and is back at her hairdressing job.

      What are Hand Tremors?

      A hand tremor is an involuntary, muscle contraction and relaxation involving to-and-fro movements (twitching) of the hands and fingers.

      The best way to demonstrate a hand tremor is by placing a piece of paper on the outstretched fingers.

      Slight movement of the paper is within normal physiological finger movements but shaking of the paper is obvious sign of tremors.

      Tremor can be a symptom due to neurological disorders in those parts of the brain that control muscles throughout the body or in particular areas such as the hands.

      There are 4 common tremors:

      1. The resting tremors pill rolling movements of Parkinson Disease.

      This type of tremors is maximal at rest and with emotion but inhibited by movement.

      It is typical of Parkinson’s Disease.

      2. Essential tremor.

      This is an accentuation of normal physiological tremors which is present at rest and brought out by placing a piece of paper on the outstretched fingers.

      a. It occurs in Thyrotoxicosis where it is associated with warm moist palms, exophthalmos and tachycardia.

      b. Anxiety states may produce a similar tremor without the exophthalmos.

      c. It also runs in families.

      d. In alcoholics the tremor is often reduced by the ethanol and exacerbated by its withdrawal.

      e. Taking caffeine may also

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