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Neurologic — Tremor

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Case 1 of 2NeurologicTremor (e.g., essential tremor)

A 75-year-old man is brought to your clinic by his daughter because his hands have been shaking for the past few weeks. There are no other symptoms. On examination there is a bilateral hand tremor that appears when the arms are held outstretched or during a task such as holding a cup, with no tremor at rest, no rigidity, no slowness of movement, and a normal gait. The patient lives independently and manages all of his activities of daily living on his own.

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What is the most likely diagnosis?

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