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Are the pulses diminished? The presence of diminished pulses should suggest peripheral arteriosclerosis or Leriche's syndrome.
Is there associated pain in the involved extremity? The presence of pain in the involved extremity ... DIAGNOSTIC WORKUP
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Are there paresthesias of the face or cranial nerve signs? These findings would suggest a diagnosis of cerebral vascular disease, a space-occupying lesion of the brain, migraine, or multiple sclerosis.
Is there pain in the involved ... DIAGNOSTIC WORKUP
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Are there abnormalities on neurologic examination? An abnormal neurologic examination should make one think of multiple sclerosis, peripheral neuropathy, muscular dystrophy, Parkinson's disease, Huntington's chorea, and a host ... DIAGNOSTIC WORKUP
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Paresthesias are abnormal sensations, such as numbness or tingling, that may occur secondary to lesions anywhere in the nervous system. They may be accompanied by hypesthesia (decreased sensation), most commonly noticed in response to painful or tactile stimuli. The etiology... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Paresthesias are abnormal sensations in the extremities in the absence of stimuli. Sensation arises spontaneously and is not always painful. The patient may experience numb, cold, warm, or burning sensations, prickling, tingling or pins and needles,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Anatomically, tingling and numbness or other abnormal sensations in the extremities result from involvement of the peripheral nerve, the nerve plexus (brachial or sciatic), the nerve root, the spinal cord, or the brain. When each of these is cross-indexed with the
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... The anatomic location of the lesion in a gait disturbance depends on the type of disturbance.
GAIT DISTURBANCES
Spastic gait. In this type of lesion, both feet shuffle along the floor in short
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... Analgesia, the absence of sensitivity to pain, is an important sign of central nervous system disease, commonly indicating a specific type and location of spinal cord lesion. It always occurs with loss of temperature sensation (thermanesthesia) because these sensory nerve... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Clammy skin — moist, cool, and usually pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Paresthesia is an abnormal sensation or combination of sensations — commonly described as numbness, prickling, or tingling — felt along peripheral nerve pathways; these sensations generally aren’t painful. Unpleasant or painful sensations, on the other... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Peripheral neuropathy , especially associated with
Diabetes mellitus
Alcoholism
Thiamine deficiency
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... Analgesia, the absence of sensitivity to pain, is an important sign of central nervous system disease, often indicating a specific type and location of spinal cord lesion. It always occurs with loss of temperature sensation (thermoanesthesia) because these sensory nerve... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Clammy skin—moist, cool, and usually pale—is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands, particularly on... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Paresthesia is an abnormal sensation or combination of sensations—commonly described as numbness, prickling, or tingling—felt along peripheral nerve pathways; these sensations generally aren’t painful. Unpleasant or painful sensations, on the other hand,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Rosemarie Cannarella
Paresthesia and dysesthesia are symptoms of peripheral nerve dysfunction caused by ectopic nerve pulses generated in these fibers. They are unphysiologic evocations of elementary physiologic... Approach. ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
Acute Loss/Scotoma
❑ Ophthalmic migraine
❑ Amaurosis fugax
❑ Retinal detachment
❑... Diagnostic Approach ... Clinical Findings ... Pictures
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... Analgesia — the absence of sensitivity to pain — can help to identify the type of nervous system lesion and determine its location. For example, thermanesthesia (loss of temperature sensation) without other sensory changes can occur because although all... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Clammy skin — moist, cool, and commonly pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands, particularly on the palms,... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Clammy skin — moist, cool, and usually pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands,... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Paresthesia is an abnormal sensation or combination of sensations — commonly described as numbness, prickling, or tingling — felt along peripheral nerve pathways; these sensations generally aren’t painful. Unpleasant or painful sensations, on the... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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...An important role of the primary care physiciancaring for children is to screen for visual problems, so that lossof vision can be prevented or treated when possible. The precisediagnosis is usually made by an ophthalmologist. This chapter discussesthe more... Principal Causes of Vision Disturbances ... Clinical Features and Diagnosis ... Table 74.1. Common Causes of Cataracts in Infants and Children ... Diagnostic Approach ... References
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... Consciousness—awarenessof one's self and environment—depends on integrityof reticular activating system and cerebral hemispheres. Disease processes that depress reticularactivating system and/or both cerebral hemispheres causealteration in... Principal Causes of Alteration in Consciousness ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Analgesia, the absence of sensitivity to pain, is an important sign of central nervous system disease, commonly indicating a specific type and location of spinal cord lesion. It always occurs with loss of temperature sensation (thermanesthesia) because... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Clammy skin—moist, cool, and usually pale—is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Paresthesia is an abnormal sensation or combination of sensations—commonly described as numbness, prickling, or tingling—felt along peripheral nerve pathways; these sensations generally aren't painful. Unpleasant or painful sensations, on the other hand, are... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Anatomically, tingling and numbness or other abnormal sensations in the
extremities result from involvement of the peripheral nerve, the nerve
plexus (brachial or sciatic), the nerve root, the spinal cord, or the brain.
When each of these is cross-indexed with the... Pictures
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...
The anatomic location of the lesion in a gait disturbance depends on
the type of disturbance.
Spastic gait. In this type of lesion, both feet shuffle along the
floor in short steps and the legs are close ... Pictures
... READ EXCERPTS »
Almost half of all people with diabetes experience some form of nerve damage, which can develop into a complication known as peripheral neuropathy....
Treating nerve damage from diabetes requires a two-pronged approach: controlling blood sugar and alleviating the pain caused by peripheral...
Acupuncture is one of the oldest and most widely used medical treatments in the world. Find out why.
Health insurance is important to everyone, especially people with chronic conditions like Crohn's disease and ulcerative colitis. Tune in to...
