...
Is there a history of drug or alcohol ingestion? Chronic barbiturate intoxication, ergotism, and other psychotropic or antidepressant drugs may cause dementia. Alcoholism may cause dementia in the form of Korsakoff ... DIAGNOSTIC WORKUP
... READ EXCERPTS »
... Spasticity may arise from pyramidal tract lesions anywhere from the spinal cord to the cerebral cortex. Consequently, the differential diagnosis and workup of this type of spasticity is the same as for hemiplegia. Spasticity may also be due to
... READ EXCERPTS »
...
Dementia is a syndrome of premature neuronal death in focal brain regions. More than 50 illnesses may cause dementia. It affects 1% of the population by age 60, and this prevalence doubles every 5 years to reach 30–50% by age 85. Common... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ EXCERPTS »
... Memory loss is a real symptom and sign, but organic brain syndrome should be dropped from usage because it is a wastebasket term. Unless the memory loss is functional (“supratentorial"), the cerebrum is the principal anatomic site of diseases that produce memory loss. Applying
... READ EXCERPTS »
... Spasticity is a state of excessive muscle tone manifested by increased resistance to stretching and heightened reflexes. It’s commonly detected by evaluating a muscle’s response to passive movement; a spastic muscle offers more resistance when the passive... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
... READ EXCERPTS »
... Spastic gait — sometimes referred to as paretic or weak gait — is a stiff, foot-dragging walk caused by unilateral leg muscle hypertonicity. This gait indicates focal damage to the corticospinal tract. The affected leg becomes rigid, with a marked decrease in flexion at the hip... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
... READ EXCERPTS »
... Degenerative diseases
Alzheimer's disease
Cerebral arteriosclerosis, multiple cerebrovascular accidents
Pick's disease (frontal temporal
... READ EXCERPTS »
... Spasticity is a state of excessive muscle tone manifested by increased resistance to stretching and heightened reflexes. It’s commonly detected by evaluating a muscle’s response to passive movement; a spastic muscle offers more resistance when the passive movement is... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
... READ EXCERPTS »
... Spastic gait—sometimes referred to as paretic or weak gait—is a stiff, foot- dragging walk caused by unilateral leg muscle hypertonicity. This gait indicates focal damage to the corticospinal tract. The affected leg becomes rigid, with a marked... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
... READ EXCERPTS »
... Anne Cather Cutlip
Dementia is characterized by a progressive cognitive decline leading to social or occupational disability occurring in a state of clear consciousness. It has an age-dependent epidemiology, occurring in 8%... Approach. ... History. ... Physical examination. ... Testing ... Diagnostic assessment.
... READ EXCERPTS »
... Differential Overview
❑ Alzheimer disease
❑ Multi-infarct dementia
❑ Depression
❑ Drugs
❑... Diagnostic Approach ... Clinical Findings ... Pictures
... READ EXCERPTS »
... Spasticity is a state of excessive muscle tone manifested by increased resistance to stretching and heightened reflexes. Also known as muscle hypertonicity, it’s commonly detected by evaluating a muscle’s response to passive movement; a spastic muscle... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Spasticity is a state of excessive muscle tone manifested by increased resistance to stretching and heightened reflexes. It's commonly detected by evaluating a muscle's response to passive movement; a spastic muscle offers more resistance when the passive movement is performed... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Spastic gait—sometimes referred to as paretic or weak gait—is a stiff, foot-dragging walk caused by unilateral leg muscle hypertonicity. This gait indicates focal damage to the corticospinal tract. The affected leg becomes rigid, with a marked... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
...
Memory loss is a real symptom and sign, but organic brain syndrome
should be dropped from usage because it is a wastebasket term. Unless the
memory loss is functional (“supratentorial”), the cerebrum is the
principal anatomic... Pictures
... READ EXCERPTS »
...
This is hypertonicity of the muscle and is almost invariably due to a
lesion along the pyramidal tract from the spinal cord to the brain.
Knowledge of neuroanatomy is extremely useful in developing a differential
diagnosis.
... READ EXCERPTS »