Fine Tremor & Hypoglycemia & Paranoid Personality Disorder: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Fine Tremor, Hypoglycemia, Paranoid Personality Disorder,

Negated

None

Unsure

None

Possible Causes

Alcohol Withdrawal Delirium

Tremors develop next—first a fine tremor of the hands and fasciculation of the tongue, then gross tremors of the extremities. [the-hospitalist.org]

[…] cerebral tumor, poisoning, drug intoxication or withdrawal, seizures or head trauma, and metabolic disturbances such as fluid, electrolyte, or acid-base imbalance, hypoxia, hypoglycemia [medical-dictionary.thefreedictionary.com]

The characteristic tremor is an intention tremor: at rest there is no tremor, but when you ask the patient to extend their hands or arms you will see a fine motor tremor [emergencymedicinecases.com]

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Cocaine Abuse

One condition, paranoid personality disorder, can make it hard to trust others. [webmd.com]

A 55-year-old woman, a long-term cocaine abuser, presented with delirium, nausea, vomiting, hypoglycemia, hypercalcemia, and hypotension as manifestations of adrenal insufficiency [ncbi.nlm.nih.gov]

Borderline personality disorder, in which you have fast emotional swings where you can worship someone one moment and hate them the next, can also cause paranoid thoughts [webmd.com]

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Acute Amphetamine Intoxication

As regards the fourth case, abnormal movement in the mouth and fine tremors in the tongue were characteristic signs. [omicsonline.org]

[…] cardiac ischemia Ventricular tachydysrhythmias Reflex bradycardia Diagnostic Tests and InterpretationLab Urinalysis: Blood Myoglobin Electrolytes, BUN/creatinine, glucose: Hypoglycemia [emergency.unboundmedicine.com]

Basic metabolic panel: to monitor for hyperkalemia, acute renal failure and metabolic acidosis Fingerstick glucose: to rule out hypoglycemia Acetaminophen and salicylate levels [cancertherapyadvisor.com]

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Alcohol Abuse

Personality Disorders include, but are not limited to : paranoid personality disorder, schizoid personality disorder, schizotypal personality disorder, borderline personality [en.wikipedia.org]

Alcohol prevents the release of glucose from the liver, resulting in hypoglycemia. [medicalnewstoday.com]

If you have diabetes, drinking can put you at risk of dangerously low blood sugar, or hypoglycemia. [awomanshealth.com]

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Panic Attacks

They are often found comorbid with borderline personality disorder and child sexual abuse. [en.wikipedia.org]

Risk factors Panic attacks are more common with: The use of stimulants like caffeine Hereditary factors Stressful situations Chemical imbalances as may occur with hypoglycemia [news-medical.net]

Hypoglycemia. A minor cardiac problem where one or more of the heart’s valves don’t close properly. Certain medications. [centerforanxietydisorders.com]

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Amphetamine Delusional Disorder

[…] significant overlap with delusional disorder obsessive-compulsive disorder patients often have insight into their obsessions and compulsions paranoid personality disorder [medbullets.com]

Delusional Disorder may be associated with Obsessive-Compulsive Disorder, Body Dysmorphic Disorder, and Paranoid, Schizoid, or Avoidant Personality Disorders. [health.am]

personality disorder, and hypochondriasis. [link.springer.com]

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Alcohol Hallucinosis

Physical examination was within normal limits except for fine digital tremors. [ncbi.nlm.nih.gov]

Other common effects include hypotension and hypoglycemia. [merckmanuals.com]

Special populations Young children who drink alcohol are at significant risk of hypoglycemia because alcohol impairs gluconeogenesis and their smaller stores of glycogen are [merckmanuals.com]

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Caffeine

tremor. [doi.org]

People may experience dizziness, hypoglycemia, fruit-like breath odor, troubled breathing, muscle tremors, nausea, diarrhea, increased urine, ketones in urine,drowsiness, [uhs.umich.edu]

[…] breath odor, increased urination, ketones in urine, loss of appetite, nausea, stomachache, tiredness, troubled breathing, unusual thirst, or vomiting (in newborn babies); hypoglycemia [web.archive.org]

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Mercury Poisoning

[…] motor control Tremor Memory loss Decreased mental concentration Delayed reaction time Mood swings Depression Excessive anger Anxiety What to do if you think you have mercury [universityhealthnews.com]

This article describes just what is going on and what you can do about it, describing the symptoms of stress and touching on the related topics of hypoglycemia, hypertension [trans4mind.com]

[…] kidney disease -nephrotic syndrome -receiving renal dialysis -kidney infection adrenal disease general fatigue loss of appetite/with or without weight loss loss of weight hypoglycemia [mercurypoisoned.com]

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Schizophrenia

schizotypal, schizoid, or paranoid personality disorders ; and atypical reactive disorders. [medical-dictionary.thefreedictionary.com]

[…] resting tremors, a masklike face, salivation, motor retardation, a shuffling gait, and pill-rolling hand movements.” 11 Tardive dyskinesia involves “slow, rhythmical, repetitive [caselaw.findlaw.com]

[…] not bizarre, and there are no other characteristics of schizophrenia Medical illnesses Illnesses that may cause schizophrenia-like symptoms include hepatic encephalopathy, hypoglycemia [aafp.org]

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Alcoholic Amnestic Disorder

[…] associated with organic brain syndromes (310.0-310.9) 301.0 Paranoid personality disorder Fanatic personality Paranoid personality (disorder) Paranoid traits Excludes: acute [theodora.com]

Herpes simplex virus Differential Diagnoses Alcohol-Related Psychosis Alcoholism Anorexia Nervosa Delirium Delirium Tremens (DTs) Delusional Disorder Hepatic Encephalopathy Hypoglycemia [emedicine.medscape.com]

disorder Chronic paranoid psychosis Sander's disease Systematized delusions Excludes: paranoid personality disorder (301.0) 297.2 Paraphrenia Involutional paranoid state [theodora.com]

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Tricyclic Antidepressant

Cases of profound hypoglycemia after the initiation of tricyclic antidepressant therapy in two patients taking sulfonylureas are described. [ncbi.nlm.nih.gov]

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Ecstasy

Physical features may include fatigue, headache, thirst, vertigo, gastric disorder, nausea, vomiting, insomnia, fine tremors of the hands, and raised or lowered blood pressure [who.int]

Being unaware of whether you need a rest or not can result in hypoglycemia or low blood sugar, especially if the drug is taken whilst dancing. [diabetes.co.uk]

Individuals with a history of heart ailments, high blood pressure, aneurism or stroke, glaucoma, hepatic (liver) or renal (kidney) disorders, or hypoglycemia may be at higher [erowid.org]

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Senile Chorea

370 Papilledema 371 Paraneoplastic Neurologic Syndromes 372 Paranoid Personality Disorder 373 Paraplegia 374 Parkinsons Disease 375 Paroxysmal Cold Hemoglobinuria PCH 377 [books.google.de]

The resting tremor in PD is generally asymmetric and has a slow frequency (usually 4–6 Hz). [geriatricscareonline.org]

Paroxysmal chorea has been described in hyper- and hypoglycemia, vascular diseases, and infections. [stanfordmedicine25.stanford.edu]

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Epilepsy

The breakup must have caused depression and some anti-social and paranoid personality disorder. Medicines may not help her at all. [lybrate.com]

38%), gingival hyperplasia (12%), headaches (32%), cognitive impairment (15%), nystagmus (40%), sedation (15%), fine tremor (28%) Ravi Sudhir 1995 No adverse events reported [doi.org]

She had received transient treatment with AEDs before the possibility of hypoglycemia was considered. [ncbi.nlm.nih.gov]

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Fluoxetine

tremor or inability to sit still fever, chills, sore throat, or flu-like symptoms difficulty breathing or swallowing severe skin rash or hives yellowing of the skin or eyes [fluoxetine.com]

respiratory distress, cyanosis, apnea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia, hypo/hypertonia, hyperreflexia, tremor, jitteriness [drugs.com]

[…] insomnia, or anorexia Risk of mydriasis; may trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomy Hypoglycemia [reference.medscape.com]

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Diffuse Serous Labyrinthitis

with or without agoraphobia Panniculitis Paraneoplastic syndromes Paranoid personality disorder Paraphilic disorders Parkinson's disease Paronychia Paroxysmal cold hemoglobinuria [elsevier.com]

[…] motor control, or tremors. [ahcmedia.com]

[…] coordinated movements of the upper limbs anteroposterior body sway of 3Hz visual stabilization of posture is preserved and closing the eyes increases the body tremor (presence [lifeinthefastlane.com]

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Bipolar Disorder

Skokou M, Gourzis P: Demographic features and premorbid personality disorder traits in relation to age of onset and sex in paranoid schizophrenia. [doi.org]

He’s had tremors and still has some fine motor problems that he’s getting therapy for. But he’s a fabulous kid. [nytimes.com]

A few medical causes/substances contributing to a depressive episode are: endocrine abnormalities (thyroid disease, hypoglycemia), cancer (pancreatic, lymphoma), viral illness [ed.ted.com]

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Chronic Hyperventilation

Yesterday was horrible: sometimes the diagnosis does more damage than the disorder itself: I was constantly paranoid about my breathing: "Am I breathing too much now? [healthboards.com]

Immune system Particularly vulnerable is the immune system, a finely tuned biological warfare mechanism responsible for identifying, differentiating and destroying pathogenic [iamheart.org]

Serious, even life-threatening, conditions such as diabetic ketoacidosis, hypoglycemia or asthma could be masked by the diagnosis of hyperventilation syndrome. [yogaphysiology.wordpress.com]

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Juvenile Paralysis Agitans of Hunt

personality disorder Includes: Expansive paranoid personality (disorder) Fanatic personality (disorder) Querulant personality (disorder) Paranoid personality (disorder) Sensitive [app.drchrono.com]

The tremor involves principally the fingers and hands, and may be fine and difficult to see. [neupsykey.com]

(spontaneous) E16.2 ICD-10-CM Diagnosis Code E16.2 Hypoglycemia, unspecified 2016 2017 2018 2019 Billable/Specific Code Hypogonadism Hypohidrosis, hypoidrosis L74.4 ICD-10 [icd10data.com]

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Myoclonic Jerking

Psychotic disorders were found in 2.9%; however, only one case (0.6%) fulfilled criteria for paranoid-hallucinatory schizophrenia. [frontiersin.org]

He has found that this does help with what he calls fine tremors -- the ones like Cutie describes that others can't really see. [flash.lymenet.org]

Paroxysmal chorea has been described in hyper- and hypoglycemia, vascular diseases, and infections. [stanfordmedicine25.stanford.edu]

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Disorders of Visual Cortex

[…] interview ( First et al. 1997 ) or of avoidant, paranoid, schizotypal, schizoid, or borderline personality disorders based on the Structured Clinical Interview for DSM-IV [academic.oup.com]

While little known to the lay public and much of academia, the human visual system operates as a change detector and relies upon the fine motion of the eyes, known as tremor [neuronresearch.net]

[…] the term born infant) periventricular leukomalacia (PVL) (in the preterm infant) traumatic brain injury due to shaken baby syndrome and accidental head injuries neonatal hypoglycemia [childrenshospital.org]

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Sexual Dysfunction

Axis II: Developmental Disorders and Personality Disorders (e.g., paranoid, antisocial, and borderline personality disorders). [onlinelibrary.wiley.com]

Consider how these features of Parkinson’s might interfere with sexual function: muscle rigidity and reduction of fine motor control that leads to clumsiness; tremor; hypersalivation [parkinsonsdisease.net]

Because intercourse is exercise, people with diabetes should watch for signs of hypoglycemia (low blood sugar) after sex. [joslin.org]

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Cataract - Ataxia - Deafness

Peripheral neuropathy Personality disorder Petit mal seizures Pituitary tumour Post traumatic stress disorder (PTSD) Psychosis Psychotic depression R Renal dialysis Retinal [gov.uk]

By some estimates, galactosemics experience trouble with gait, balance, and fine motor tremors in anywhere from 13 to 20 %. [galactosemia.org]

Ketoacidosis, and increased alanine in urine, and serum Hyperammonemia I and II; Increased ammonia, Hypoglycemia Galactocerebrosidase Lipidosis (Krabbe Disease) Early oset [cmdg.org]

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Fitzsimmons-Guilbert Syndrome

personality disorder Paraomphalocele Paraparesis amyotrophy of hands and feet Paraphilia Paraplegia Paraplegia-brachydactyly-cone shaped epiphysis Paraplegia-mental retardation-hyperkeratosis [sosu.us]

Fine tremors in the chin may be seen along with other extrapyramidal signs but these are not prominent in the limbs. Instead there is often rigidity and bradykinesia. [disorders.eyes.arizona.edu]

Panhypopituitarism with hypoglycemia, diabetes insipidus, reduced response to thyroid stimulating hormone, and hypogonadotropic hypogonadism can occur. [entokey.com]

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Thyro-Cerebro-Renal Syndrome

Organic personality disorder has been described, particularly among the apathetic elderly. [intechopen.com]

Systemic features frequently include hand tremors and hypertonia. [tsbvi.edu]

On one of her numerous admissions, she had hypoglycemia and glibenclamid was in her pocket. [ijpm.info]

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Decreased Pain Sensation

paranoid or borderline PD. [thepsychologist.bps.org.uk]

As serum levels increase to 5-8 mcg/mL, nystagmus, slurred speech, localized muscle twitching, or fine tremors may be noticed. [emedicine.medscape.com]

Hypoglycemia unawareness. Low blood sugar (below 70 milligrams per deciliter, or mg/dL) normally causes shakiness, sweating and a fast heartbeat. [mayoclinic.org]

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Sialidosis Type 2

Paranoia Paranoid: · psychosis · state Paraphrenia (late) Sensitiver Beziehungswahn Excludes: paranoid: · personality disorder ( F60.0 ) · psychosis, psychogenic ( F23.3 ) [mkb-dijagnoza.blogspot.com]

Coordination/cerebellar: Dysmetria (past-pointing/tremor) when reaching for objects as opposed to formal finger to nose, fine finger movements, etc. [res.mednet.ucla.edu]

Fig.2 Approach to the differential diagnosis of hypoglycemia. [content.iospress.com]

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Modafinil

The 5 Australian cases (2 males, 3 females) had a history of paranoid personality, depression, or post-natal depression. [tga.gov.au]

Physical examination was within normal limits except for fine tremors. [doi.org]

Effect of ketone body infusion on plasma catecholamine and substrate concentrations during acute hypoglycemia in man. J Clin Endocrinol Metab. 1980 ; 50 : 557–559. [ahajournals.org]

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Antipsychotic Agent

Rubin 1971 included one person with manic‐depressive disorder and Brauzer 1968 included a single person with chronic brain syndrome with psychoses. [doi.org]

Death from liver failure Depression Diabetes Excessive weight gain Fatal blood clots Heart arrhythmia Heart failure Heart palpitation Hemorrhage Hostility Hyperglycemia Hypoglycemia [cchrint.org]

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