0071643192.pdf

■ Ulnar mononeuropathy ■ Corticosteroid injection may help. ■ May require surgical intervention if persistent ■ Median mononeuro ...

DIFFERENTIAL ■ Plexopathies: On detailed examination these can be mapped to the brachial or lumbosacral plexus. ■ Symptoms will ...

Myasthenia Gravis Myasthenia gravis is an autoimmune disorder of the neuromuscular junction. PATHOPHYSIOLOGY ■ Antibodies agains ...

PATHOPHYSIOLOGY ■ Antibodies →inadequate release of acetylcholine at neuromuscular junc- tions→symptoms. SYMPTOMS/EXAM ■ Proxima ...

PATHOPHYSIOLOGY ■ Tick toxin →decreased release of acetylcholine at neuromuscular junc- tion→symptoms. SYMPTOMS/EXAM ■ Symmetric ...

■ Limited bulbar and ocular involvement ■ Ventilatory failure is uncommon. DIAGNOSIS ■ Clinical diagnosis is based on personal a ...

DIAGNOSIS ■ Suspect in patients with two episodes of differing neurologic symptoms occurring at different times. ■ MRI may show ...

CHAPTER 16 Psychobehavioral Disorders Maryam B. Shapland, MD The DSM-IV Classification 771 The Emergency Care of Psychiatric Pat ...

Effects of Selected Psychotropic Medications 793 MONOAMINEOXIDASEINHIBITOR(MAOI) TOXICITY 793 SEROTONINSYNDROME 794 NEUROLEPTICM ...

PSYCHOBEHAVIORAL DISORDERS THE DSM-IV CLASSIFICATION The DSM-IV classification aids in making a comprehensive assessment of dise ...

PSYCHOBEHAVIORAL DISORDERS 772 Alcoholism has a genetic component: Close relatives of alcoholics have four times the riskof alco ...

PSYCHOBEHAVIORAL DISORDERS The blood alcohol concentration (BAC) After the consumption of a standard drink (12 oz of beer, 5 oz ...

PSYCHOBEHAVIORAL DISORDERS 774 TABLE 16.2. Major Symptoms of Alcohol Withdrawal ONSET AFTER LASTDRINK SYMPTOMS/SIGNS TREATMENT M ...

PSYCHOBEHAVIORAL DISORDERS TREATMENT ■ ABCs, IV/O 2 /monitor, banana bag (thiamine, folate, multivitamins) ■ Benzodiazepines are ...

PSYCHOBEHAVIORAL DISORDERS 776 KORSAKOFF’SSYNDROME/PSYCHOSIS This is also due to thiamine deficiency. This is a progression of W ...

PSYCHOBEHAVIORAL DISORDERS TABLE 16.3. Effects of Cocaine Intoxication ORGANSYSTEM EFFECTS Cardiovascular Has quinidine-like eff ...

PSYCHOBEHAVIORAL DISORDERS 778 EPHEDRINE ■ Has both α-andβ-adrenergic activitycaused by release of dopamine and NE from neuronal ...

PSYCHOBEHAVIORAL DISORDERS ■ Treatment is positive pressure oxygenation, intubation if indicated, and use of PEEP. OPIOIDWITHDRA ...

PSYCHOBEHAVIORAL DISORDERS 780 TABLE 16.4. Characteristics of Hallucinogens DURATION OF DRUG ACTION(HOURS)CLINICALFEATURES COMPL ...

PSYCHOBEHAVIORAL DISORDERS ■ Benzodiazepines and barbiturates are most often coingested with other agents. Consider giving dextr ...