tailieunhanh - Medicine - a Manual of practical (Fourth edition): Part 2

(BQ) Continued part 1, part 2 of the document Medicine - a Manual of practical (Fourth edition) has contents: Nervous system, endocrine and metabolic disorders, connective tissue disorders, oncology, geriatric medicine, substance abuse, imaging modalities in internal medicine, procedures. Invite you to refer. | Chapter 8 Nervous System SYMPTOMS SIGNS 1 428 Manual of Practical Medicine Higher Functions Definitions Consciousness It is defined as the state of awareness of self and the environment. Confusion It is lack of clarity and coherence of thought perception understanding or action. It is often the first feature of cognitive impairment. Coma It is a state of unconsciousness in which the patient does not respond to any type of external stimuli or inner need. Stupor or Semiconsciousness It is a state of disturbed consciousness from which only vigorous external stimuli can produce arousal. Glasgow Coma Scale GCS Eye Opening Spontaneous 4 To speech 3 To pain 2 No response 1 Best Verbal Response Fully oriented 5 Mild confusion 4 Moderate confusion inappropriate 3 Severe confusion incomprehensible 2 No response 1 Best Motor Response Obeys commands 6 Localises pain 5 Withdrawal to pain 4 Abnormal flexor response 3 decorticate posture Extensor response decerebrate posture 2 No response 1 GCS is useful in assessing level of consciousness in a patient with head injury. Best total score is 15 Mild injury 13 to 15 Moderate injury 9 to 12 Severe injury 8 This gives an indication of the patient s state of consciousness and is not a substitute for neurological examination. Abbreviated Coma Scale AVPU A alert V responds to vocal stimuli P responds to pain U unresponsive. Coma Vigil Vegetative State Patient is comatose but the eyelids are open giving the appearance of being awake. Patient may perform random limb and head movements but there is complete inability to respond to command or to communicate. Akinetic Mutism This refers to a partial or fully awake patient who is immobile and silent. This state may be seen in hydrocephalus mass in the region of third ventricle or large bilateral hemispherical lesions. Abulia This is a mild form of akinetic mutism in which patient is hypokinetic but is able to communicate. This is seen in lesions in the periaqueductal region or lower .

• Y khoa - Dược
• Manual of practical medicine
• Practical medicine
• Nervous system
• Metabolic disorders
• Connective tissue disorders
• Internal medicine
• Geriatric medicine
• Substance abuse
• Imaging modalities
• Cardiovascular system
• Respiratory system
• Exam preparatory manual
• Undergraduates forensic medicine
• Forensic medicine
• Medicolegal autopsy
• Violent asphyxial deaths
• Agricultural poisons
• Corrosive poisons
• Cardiac poisons
• Neurotoxic poisons
• Organic irritant poisons
• Netters introduction to imaging
• Introduction to imaging modalities
• Back and spinal cord
• Pelvis and perineum
• Nuclear medicine imaging
• MRI pulse sequences
• CT Imaging
• Established Imaging Modalities
• Clinical Goals
• Thoracic Diseases
• Cardiothoracic Anatomy in CT
• Multi slice CT Technology
• Cardiac Imaging
• Abdominopelvic imaging
• Critical observations
• Chest imaging
• Radiologic modalities
• Basic principles
• Proton Computed Tomography
• Spatial Dependency
• Various Imaging Modalities
• Lung Cancer
• Respiratory Motion
• Molecular Imaging
• Four Alternative
• Computational Framework
• Magnetic Resonance
• Experimental Validation
• Electrical Impedance Spectroscopy
• Performance Optimization
• Diagnostic Imaging Modalities
• Fourier Transform
• Frequency Building Blocks
• Plane Waves
• Elastic Waves in Solids
• Exponential Terms
• Tissue Data
• Decibels
• Medical Imaging Systems
• Cardiovascular
• Diagnosis Optimization
• General Anatomy
• Computational Methods
• Brain Systems
• Endometriosis
• Role of Ultrasound
• MRI and Other Imaging
• Modalities in Diagnosis
• Planning Intervention
• Pelvic Endometriosis
• Gray or White
• Language Deficits
• Novel Imaging
• Diagnostic Modalities
• 3D TrueFISP MRI
• Provides Accurate
• CT in the Differentiation
• Pancreatic Tumors
• Endoscopic Ultrasound
• Liver Tumors
• Pancreatic Neoplasms
• Progress Report
• Abscesses
• Pyogenic Type
• BiliaryHamartomas
• Multiple Small Lesions
• Hemangioma
• Hemorrhage
• Solid Liver Lesions
• MR CT Correlation