Does myopic astigmatism cause tremors with blurry vision?

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As I got from your medical history, you have recently been diagnosed with rheumatic valve heart disease and have received some treatment in this regard. Moreover, it seems that has caused concerns for you to include intermittent hand tremors, intermittent neck and back pain, and occipital headache. Your complaints are very generalized (in various parts of the body). As you are a young female, we should screen you for diseases that can cause systemic (i.e. extensive) signs and symptoms in various parts of the body. To be more exact, I need to see your recent laboratory test (if had been done) and a short video of your hand tremor. Then, I could give you a consultation, which is more appropriate for you.

Thank you.

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I read your lab result (attachment removed to protect the patient's identity). You had a positive anti-streptolysin antibody (ASLO), urinary infection, and mild anemia with mild thrombocytopenia and lymphopenia. The ASLO (anti-streptolysin O) and your history of receiving Benzathine Penicillin were the cause that I supposed you have treated for rheumatic heart disease. I am sorry for this misunderstanding. Tests for hepatitis, HIV, and malaria were negative. In addition, evidence of fatty liver and gastritis was noted. In another lab test, you had low sodium, potassium, magnesium, and albumin. I did not see any test for screening of generalized inflammatory processes, thyroid function test, adrenal gland function test, and liver function test. These are important because tremors may be the result of dysfunction in any of those systems. Considering your complaints and your tremor, my recommendation is to request your family physician to check the following tests:

ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), ANA (antinuclear antibody test), anti-ds-DNA, AST (aspartate transferase), ALT (alanine transaminase), ALP (alkaline phosphatase), bilirubin (total and direct), TSH (thyroid stimulating hormone), FBS (fasting blood sugar test), cortisol level and ACTH (adrenocorticotropic hormone). In addition, as I stated before, a short video of your tremor is very helpful. After conducting the mentioned tests and seeing your tremor, I can guide you if more evaluations such as whether brain imaging is necessary or not.

Thank you.

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Fatty liver does not cause low albumin unless it is in severe forms. It is very odd that your albumin is low. I recommended liver function tests for this issue. If your liver works properly, the only reasons may be malnutrition, malabsorption, or excessive excretion of protein in the urine. Your urine test did not show excessive protein excretion. So, we should first evaluate your liver function. Morning joint pain, also known as morning stiffness, or pain after an inactive position like sitting, is a suggestive sign of a possible inflammatory disease. The tests for inflammatory screening that I suggested previously, are in this regard.

Thank you.

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That will work.

Thank you.