Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chronic, progressive, bilateral action tremor involving the hands/forearms. Symptoms are exacerbated by voluntary movement and sustained posture, and alleviate with rest. No associated bradykinesia, rigidity, or gait instability. Family history is positive for similar movement disorders. No recent exposure to tremorogenic medications.
Clinical Examination Findings
Patient is alert and oriented. General physical examination is unremarkable. No signs of thyroid dysfunction, hepatomegaly, or stigmata of systemic disease. Vital signs are stable.
Treatment Protocol
Initiate pharmacotherapy with Propranolol [dosage] or Primidone [dosage] as first-line treatment. Monitor for bradycardia, hypotension, or sedation. Follow-up in 4 weeks to assess therapeutic response and side effects. Consider physical/occupational therapy for adaptive strategies.