Axsterixis video file (YouTube)

Question 1

What is asterixis also known as?

Answer 1

Flapping tremor

Question 2

5 conditions associated with asterixis (flapping tremor) include cirrhosis, hepatic encephalopathy, opioid overdose, acute liver failure and?

Answer 2

Wilson’s Disease

Question 3

How do you test for flapping tremor?

Answer 3

Have the patient sit with their wrists extended, then put pressure against them to further extend their wrists.

Question 4

Describe asterixis (flapping tremor)

Answer 4

A clonus-type involuntary movement of the wrists, which may be symmetrical or asymmetrical between the hands

Question 5

What are 3 important factors to document when assessing asterixis (flapping tremor)?

Answer 5

1. Amplitude
2. Frequency
3. Duration

Question 6

Can asterixis (flapping tremor) occur without physician provocation?

Answer 6

Yes