**1. What are the Probability Diagnosis (less than 3, in point form):**

* **Essential tremor**
* **Graves' disease**
* **Thyroid storm**

**2. What are the Serious Disorders not to be missed (less than 3, in point form, not to repeat the above-stated diagnosis):**

* **Multiple sclerosis**
* **Brain tumor**
* **Hypothyroidism**

**3. What are the Pitfalls (often missed) but uncommon (less than 3, not to repeat the above-stated diagnosis):**

* **Medication side effects**
* **Electrolyte imbalances**
* **Vitamin deficiencies**

**4. What are the Masquerades Checklist (less than 3, not to repeat the above-stated diagnosis):**

* **Psychiatric disorders**
* **Pain**
* **Stress**

**5. What key history I should get from the patient:**

* **Onset and duration of symptoms**
* **Any family history of tremors or thyroid problems**
* **Current medications**
* **Any other medical conditions**
* **Social history**

**6. What are the Key Clinical Features:**

* **Fine tremors of the hands**
* **Neck swelling**
* **Heat intolerance**
* **Weight loss**
* **Tachycardia**
* **Palpitations**
* **Anxiety**

**7. what investigations should be done, list down in point form:**

* **Thyroid function tests**
* **Complete blood count**
* **Electrolytes**
* **Vitamin levels**
* **MRI of the brain**

**8. what care management should be carried out, list down in point form:**

* **Treatment of the underlying cause**
* **Medications to control tremors**
* **Supportive care**
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