...
Are the pulses diminished? The presence of diminished pulses should suggest peripheral arteriosclerosis or Leriche's syndrome.
Is there associated pain in the involved ... 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 ... 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, ... 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... 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... 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
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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,
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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 ... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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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... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Peripheral neuropathy , especially associated with
Diabetes mellitus
Alcoholism
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Analgesia
(Professional Guide to Signs & Symptoms (Fifth Edition))
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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... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric 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.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric 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... 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
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Skin, clammy
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... 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... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric 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... 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... 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 ... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Paresthesia is an abnormal sensation or combination of sensations—commonly described as numbness, prickling, or tingling—felt along peripheral nerve pathways; these sensations... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... 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, ... Pictures
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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... Pictures
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... Author:
Michael S. Potter and Anthony Slonim, MD
What to Do - Make a Decision
Pediatric patients may experience fluid loss and dehydration in a number
of ways. The... Suggested Readings ... Pictures
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