Page 116 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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Neurology                                                                                                                                                                                                                 Neurology
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                                                                                         Tremor









                                                               No intention                                                                                                                         Intention tremor
                                                               head tremor                                                                                                                           of the head







                                     If episodic:
                                   â Seizure p. 94        Neurological disease                                                                       Metabolic/              Physiologic           Cerebellar lesion
                                                           (not cerebellar)
                                                                                                                                                     toxic cause
                                    Head bobbing




                                                                                                                                                – Hypoglycaemia         – Fear                   – Cerebellar hypoplasia
                                                                                                                                                – Hypocalcaemia         – Excitement             – Cerebellar atrophy
                                       UMN                     LMN                    Idiopathic                                                – Hypo-/Hyper-          – Freezing               – Neurodegenerative
                                                                                                                                                  adrenocorticism       – Pain                    disease
                                                                                                                                                – Hypo-/Hyper-          – Hypertension           – Cerebellitis
                                                                                                                                                  thyroidism                                     – Other
                                                                                                                                                – Poisoning                                       (cerebrovascular
                                                                                                                                                  (e.g. organo-                                   disease, neoplasia)
                                – Storage disease       – Polyneuropathy         – Orthostatic tremor                                             phosphates,
                                – Congenital                                      (esp. Great Dane)                                               carbamates,
                                 neurodegenerative                               – White dog shaker                                              metaldehyde,
                                 disease                                          syndrome
                                – Hypomyelination                                – Myokymia                                                      mycotoxins, others)
                                 (shaking puppies)                               – Senile tremor
                                – Meningomyelitis                                 (pelvic limbs)
                                – Other
























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