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Case Illustration ET-2 - ASSFN

case Illustration : Essential Tremor (ET) Ellen L. Air, , Senior Staff, Henry Ford Health System and Clinical Instructor, Wayne State University Detroit, MI Patient History and Exam: A 66yo, left- handed woman presents with complaints of hand and arm tremor. She does not have any tremor while at rest, but the tremor worsens significantly when trying to perform tasks with her hands. In particular, she has trouble eating and holding utensils, as well as putting on makeup. The embarrassment from the tremor keeps her from being as social as she once was. Alcohol reduces the tremor and sometimes she will have a glass of wine before an event so she feels more socially acceptable.

Her%tremor%was%manageable%for%many%years%with%medication.%%Specifically,%she%had%been%wellH controlled%with%propranolol,%however%she%beganhaving%low%bloodpressure ...

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