Differential Diagnosis for Shakes after Anger

• Single most likely diagnosis:
  • Essential Tremor or Anxiety-related tremors: These conditions can be exacerbated by emotional states such as anger, leading to noticeable shakes.
• Other Likely diagnoses:
  • Hyperthyroidism: An overactive thyroid gland can cause tremors, among other symptoms, and emotional stress like anger can worsen these tremors.
  • Medication side effects: Certain medications, including those for ADHD, depression, and anxiety, can cause tremors as a side effect, which might be more noticeable during periods of high emotional arousal like anger.
  • Caffeine or substance withdrawal: Withdrawal from caffeine, alcohol, or other substances can lead to tremors, and the physical and emotional stress of anger could exacerbate these symptoms.
• Do Not Miss diagnoses:
  • Hypoglycemia: Low blood sugar can cause tremors, confusion, and other symptoms, and it's crucial to identify and treat promptly to avoid serious complications.
  • Pheochromocytoma: A rare tumor of the adrenal gland that can cause episodes of hypertension, tremors, and other symptoms, often triggered by stress or emotional events.
  • Neurological disorders (e.g., Parkinson's disease, multiple sclerosis): While less common, these conditions can cause tremors and should not be overlooked, as early diagnosis and treatment can significantly impact the disease course.
• Rare diagnoses:
  • Wilson's disease: A genetic disorder that leads to copper accumulation in the body, causing neurological symptoms including tremors.
  • Other movement disorders: Such as dystonia or chorea, which can be caused by a variety of rare conditions and might present with tremors or shakes, especially in response to emotional stress.