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Is there weight loss? If there is weight loss, one must consider a neoplasm, endocrine disorders such as hyperthyroidism or diabetes mellitus, malnutrition or malabsorption, ... DIAGNOSTIC WORKUP
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Is it acute or gradual onset? If it is acute onset, Bell's palsy, diabetic neuropathy, and cerebral vascular accident must be considered. If it is gradual onset, one must consider ... DIAGNOSTIC WORKUP
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Fatigue is a very common, although nonspecific, presenting symptom that refers to the sensation of exhaustion during or after usual activities, or a feeling of inadequate... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Differentiate supranuclear facial palsy from peripheral (nuclear) facial palsy. Supranuclear palsy involves predominantly the lower part of the face. Emotional responses may be intact (e.g.,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Complaints of fatigue indicate a general state of decreased endurance for, or interest in, activities. It is typically associated with tiredness and sleepiness. Depression as a cause of fatigue in adolescents frequently goes undiagnosed.... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Distal weakness is most likely secondary to neuropathy, and is often associated with loss of deep tendon reflexes (DTRs) either with or without sensory abnormalities. In contrast,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Proximal weakness is usually due to dysfunction of the lower motor unit; that is, anterior horn cells in the spinal cord, neuromuscular junction (NMJ), or the muscle itself. The neurologic examination, EMG, and nerve conduction... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Although Bell palsy is the most frequent etiology, it is a diagnosis of exclusion; one must thoroughly rule out infections, congenital, developmental, and other causes. Serial electrical testing... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... A facial palsy is usually considered to be Bell palsy and it frequently is. Nevertheless, the clinician who begins treatment without ruling out other possibilities will eventually get burned.
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... The analysis of the causes of weakness depends on a knowledge of both anatomy and biochemistry. Strength depends on an intact healthy muscle, peripheral nerve, and lower and upper motor neuron pathways and a
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... This symptom, as opposed to generalized weakness and fatigue (see page 541), is almost invariably due to a neurologic disorder. Consequently, a comprehensive list of causes is
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... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Flaccid muscles are profoundly weak and soft, with decreased resistance to movement, increased mobility, and a greater than normal range of motion (ROM). The result of disrupted muscle... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular disease, trauma, tumor, or central... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Acute or Subacute*
Electrolyte abnormality
Hyperkalemia
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... Acute (Developing in Hours)
Spinal cord injury
Spinal cord hemorrhage (secondary to vascular malformation, coagulopathy, anticoagulant therapy, trauma)
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... Vocal cord paralysis results from disease of or injury to the superior or, most commonly, the recurrent laryngeal nerve. It may also be congenital.
Causes
Vocal cord paralysis commonly results... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Sometimes called chronic Epstein-Barr virus, or myalgic encephalomyelitis, chronic fatigue and immune dysfunction syndrome is typically marked by debilitating fatigue,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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Fatigue
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may accompany it.
Fatigue... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
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... Flaccid muscles are profoundly weak and soft, with decreased resistance to movement, increased mobility, and greater than normal range of motion. The result of disrupted muscle innervation, flaccidity can be localized to a limb... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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Paralysis
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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Fatigue
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Meg Hayes
Fatigue is both a normal human response as well as a symptom of physical or psychological disease. It is a subjective sensation that is multicausal and nonspecific for which no one... Approach ... History ... Physical examination ... Testing. ... Diagnostic assessment
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... Differential Overview
❑ Infectious mononucleosis
❑ Depression
❑ Diabetes ... Diagnostic Approach ... Clinical Findings
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... Chronic fatigue and immune dysfunction syndrome (CFIDS) — also known as chronic fatigue syndrome, chronic Epstein-Barr virus [EBV], benign myalgic encephalomyelitis, and “Yuppie flu&rdquo... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Paralysis of the vocal cords results from disease of or injury to the superior or, most often, the recurrent laryngeal nerve.
Causes
Vocal cord paralysis... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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Paralysis
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative neuromuscular disease, trauma, tumor, or central nervous... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Fatigue
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
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... Fatigue is a feeling of excessive tiredness, lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the muscles, but may... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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Fatigue
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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...Defined as lack of energy for activitiesand decreased endurance for them. Principal Causes of Fatigue Physiologiccauses Pathologic causes Anemia Infection ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Hypotonia(decreased muscle tone) can be recognized by diminished resistanceto passive stretching of joints, by increased range of passive movement,and by the more "flappable" nature of an extremityin response to rapid... Principal Causes of Hypotonia and Weakness ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Fatigue is a feeling of excessive tiredness, a lack of energy, or exhaustion accompanied by a strong desire to rest or sleep. This common symptom is distinct from weakness, which involves the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Flaccid muscles are profoundly weak and soft, with decreased resistance to movement, increased mobility, and a greater than normal range of motion (ROM). The result of disrupted muscle innervation, flaccidity can be localized to a... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Paralysis, the total loss of voluntary motor function, results from severe cortical or pyramidal tract damage. It can occur with a cerebrovascular disorder, degenerative... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
A facial palsy is usually considered to be Bell palsy and it frequently
is. Nevertheless, the clinician who begins treatment without ruling out
other... Pictures
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...
The analysis of the causes of weakness depends on a knowledge of both
anatomy and biochemistry. Strength depends on an intact
healthy muscle, peripheral nerve, and lower and upper motor neuron... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
This symptom, as opposed to generalized weakness and fatigue , is almost invariably due to a
neurologic disorder. Consequently, a comprehensive list of causes is... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
