A 37-year-old insurance agent comes to your office, complaining of trembling hands. she says that for the past 3 months when she
tries to use her hands to fix her hair or cook they shake badly. she says she doesn't feel particularly nervous when this occurs but she worries that other people will think she has an anxiety disorder or that she's a drinker. she admits to having some recent fatigue, trouble with vision, and difficulty maintaining bladder control. her past medical history is remarkable for hypothyroidism. her mother has lupus and her father is healthy. she has an older brother with type 1 diabetes. she is married and has three children. she denies tobacco, alcohol, or drug use. on examination, when she tries to reach for a pencil to fill out the health form she has obvious tremors in her dominant hand.what type of tremor is she most likely to have
The 37 year old woman is experiencing an essential tremor,
this is a type of tremor in which a person may experience uncontrollable
movement or shaking in any areas of his or her body in which will likely affect
his or her daily activities. This is not parkinson’s disease because a
parkinson’s disease will likely affect the person’s way of speaking or his or
her speech.
You should always keep three items in your car. Your vehicle registration and proof of insurance can stay in the glove box or someplace else where they will be easy to find and hard to lose. Your driver's license is the third thing, and that should stay on you any time you are in a car.
The Indian Rebellion of 1857. The Indian Rebellion of 1857 was a period of uprising in northern and central India against British rule in 1857–58. The rebellion was the result of decades of ethnic and cultural differences between Indian soldiers and their British officers.
