The Diagnostics of Internal Medicine a Clinical Treatise Upon the Recognised Pr
The Diagnostics of Internal Medicine a Clinical Treatise Upon the Recognised Pr
Glentworth Reeve Butler
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Whether a tremor is fine or coarse can usually be estimated after a little experience, but for accurate results special laboratory instruments are required. Coarse and irregular tremor may be con- fused with moderate choreiform movements. (2) The diagnostic associations of tremor are in general as fol- lows : Intention tremor is often, but by no means always, due to organic disease ; conversely, passive tremor is commonly functional. Coarse tremor is generally an evidence of organic disease or ...paralysis agitans, but is also seen in serious alcoholism and hysteria. Tremor of the facial muscles, lips, and tongue is indicative of marked neu- rasthenia, paresis, or alcoholism. Following are some of the special conditions or diseases in which tremor is a noticeable symptom : It is normal in persons of a nervous temperament under excite- ment or alarm, and is sometimes marked, even in robust individuals, after violent or long-continued exercise, but in both cases is tempo- rary. It exists apparently as a constitutional peculiarity in some persons who are otherwise in good condition, becoming more distinct if the health is impaired.
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