... Fedor Krause (1 85 7 – 193 7) and Heinrich O Oppenheim (1 85 8 – 191 9) in 19 08 e This drawing shows the concept of a disc compressing the cauda equina as seen by Joel E Goldthwait ( 186 7 – 196 1) e Disc ... in 19 48 and shortly after Harmon brought his series to the public in 1 95 0 and 196 0 [46, 68] Since then, many modifications have been made In the late 1 95 0 s, the American surgeon Humphries and ... a Figure Back pain and sciatica a Domenico Felice Antonio Cotugno (1736 – 182 2) b The Half Joints of the Human Body published in 1 85 8 by the German pathologist Hubert von Luschka ( 182 0 – 18 75) ...
... 1.6 5. 4 Gait disorder 3.0 1.7–4 .8 Visual deficit 2 .8 1.1–7.4 Mobility limitation 2 .5 1.0 5. 3 Cognitive impairment 2.4 2.0–4.7 Impaired functional status 2.0 1.0–3.1 Postural hypotension 1 .9 1.0–3.4 ... evaluation and treatment (Chaps 21 and 363) Table 24-3 Risk Factors for Falls, a Meta-Analysis: Summary of Sixteen Controlled Studies Risk Factor Mean RR (OR) Range Weakness 4 .9 1 .9 10.3 Balance ... Resistance strength training can increase muscle mass and leg strength in people in their 80 s and 90 s Drop Attacks and Collapsing Falls Drop attacks are sudden collapsing falls without loss of consciousness...
... understanding written language and can express themselves well in spoken or written language They have no difficulty interpreting and reacting to environmental sounds since primary auditory cortex and ... comprehension, and repetition are intact, but confrontation naming, word finding, and spelling are impaired Speech is enriched in function words but impoverished in substantive nouns and verbs denoting ... regions of the brain Broca's and Wernicke's areas tend to be spared, but there is damage to the surrounding frontal, parietal, and temporal cortex Lesions are patchy and can be associated with...
... Gustatory Losses Renal disease Aging Stroke and other CNS respiratory tract disorders Candidiasis Trauma Drugs (antithyroid and antineoplastic) Upper Endocrine disorders infections Oral neoplasms Pemphigus ... to the oral cavity and pharynx; viral infections; endocrine disorders; neoplasms; and aging Neural gustatory losses occur with neoplasms, trauma, and surgical procedures in which ... associated with poor oral clearance and poor dental hygiene and can adversely affect the oral mucosa, all leading to dysgeusia However, severe salivary gland failure does not necessarily lead...
... Nhiễm kiềm chuyển hoá Là trạng thái thừa Baseacid (ko phải H2CO3) * Nguyên nhân: + Quá thừa base: - nhiều bicarbonat (ĐT) - Ăn uống: nhiều chất t/c kiềm + Do acid: - Nôn nhiều (HCL , K+ ) - Hút ... chảy(H+ ) - Thuốc lợi niệu nhiều -> K+ * KQXN thông số: - pH máu (> 7 ,5, bù) - pCO2 (> 40mmHg thông khí ) - HCO3- (> 25mmol/l) tCO2, BB , BE Nhiễm kiềm hô hấp Rối loạn khởi phát pCO2 Gặp: ... - BB - BE (-) Nhiễm toan chuyển hoá Là anion đệm- chủ yếu HCO3- máu&D ngbào; Tích luỹ acid CĐ / thực tế acid mạnh mà anion chúng ko thể xuất qua thận *KQXN - pH máu (< 7,24- bù) - pCO2 (f/ư...
... physician better understand the nature of the complaint Work times and sleep times (including daytime naps and nocturnal awakenings) as well as drug and alcohol use, including caffeine and hypnotics, ... specific disorders such as narcolepsy and sleep apnea and may be of utility in other settings as well In addition to the three electrophysiologic variables used to define sleep states and stages, ... Table 28- 1 outlines the diagnostic and therapeutic approach to the patient with a complaint of excessive daytime sleepiness Table 28- 1 Evaluation of the Patient with...
... 25. 1 4.0 0.3 +13, 4 .5 2.7 0.14 15 +16 7 .5 — — Sex 8. 7 0.1 0.01 Triploidy 6.4 0.2 — Tetraploid 2.4 — — Structural 2.0 0 .8 0.3 45 all 18, 21 chromosome monosomy ( 45, X) y abnormality Total 50 .0 5. 1 ... gestation, others surviving to the time of clinical pregnancy recognition, and some (e.g., trisomies 13, 18, and 21 and sex chromosome trisomies) being compatible with survival to term.[newpage] ... 46 to 23 in the mature sperm and eggs This is accomplished by two rounds of division—meiosis I and meiosis II (Fig 63-3) In meiosis I, homologous chromosomes pair and exchange genetic material,...
... common and occur in 5 10% of young women The frequency of BN among men is less than one-tenth of that among women The prevalence of BN increased dramatically in the early 197 0s and 1 98 0 s but ... liver enzyme levels occasionally occur Multivitamins should be given, and an adequate intake of vitamin D (400 IU/d) and calcium ( 150 0 mg/d) should be provided to minimize bone loss No psychotropic ... cortisol and thyroid hormone metabolism not require specific treatment and are corrected by weight gain Estrogen treatment appears to have minimal impact on bone density in underweight patients, and...
... depression, and confusion Hyperviscosity may lead to headache, fatigue, visual disturbances, and retinopathy Bony damage and collapse may lead to cord compression, radicular pain, and loss of bowel and ... tissue Diagnosis and Staging The classic triad of myeloma is marrow plasmacytosis (>10%), lytic bone lesions, and a serum and/ or urine M component Bone marrow plasma cells are CD1 38+ and monoclonal ... myeloma, occurring in 1% of the population over age 50 and in up to 10% individuals over age 75 The diagnostic criteria for MGUS, smoldering myeloma, and myeloma are described in Table 106-2 When bone...