Presentation
The technique presented warrants further evaluation in a larger series of patients. [ncbi.nlm.nih.gov]
More than 80 of the world's foremost authorities provide comprehensive coverage of all bone and joint injuries, thoroughly discuss alternative methods for treating each injury, and present their own preferred methods. [books.google.com]
This study followed up a group of women over five years, to examine whether current levels of flush-related distress/discomfort were associated with past and present control beliefs, catastrophic thoughts and coping strategies. [bura.brunel.ac.uk]
Respiratoric
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Hypoventilation
A syndrome of life-threatening central hypoventilation and vasomotor instability can occur after medullary infarction. [ncbi.nlm.nih.gov]
Conclusions A syndrome of life-threatening central hypoventilation and vasomotor instability can occur after medullary infarction. [jamanetwork.com]
Cardiovascular
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Hypertension
Evaluation demonstrated an associated depressed gag and an incidentally detected hypertension which remained persistent. Evaluation of the hypertension failed to demonstrate another cause. [semanticscholar.org]
Central hypoventilation and paroxysmal hypertension are uncommon complications of medullary infarction. To our knowledge, the combination of these autonomic complications of medullary stroke has not previously been reported. [ncbi.nlm.nih.gov]
Emotional or physical stress can precipitate dysautonomic crises with nausea, vomiting, agitation, tachycardia, and hypertension. Physical growth may be slow and scoliosis is common. Patients are susceptible to self-injury. [disorders.eyes.arizona.edu]
Reis DJ The brain and hypertension: reflections on 35 years of inquiry into the neurobiology of the circulation. Circulation 1984;70(pt 2)III31- III45PubMedGoogle Scholar 16. [jamanetwork.com]
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Hypotension
On autopsy, no abnormalities were found that could explain the hypotension. We hypothesize that these infants died of severe hypotension due to abnormal vascular tone and that this is a variable feature in individuals with 22q11 deletion. [ncbi.nlm.nih.gov]
The infant usually develops acrocyanosis, temperature instability, hypotension, and sepsis-like features. [go.gale.com]
In each instance, hypertension (SBP, 200 mm Hg) and respiratory acidosis (PCO2, 100 mm Hg) occurred in parallel, before the onset of coma (Glasgow Coma Scale [GCS] score, 10) and acute hypotension (SBP, 100 mm Hg). [jamanetwork.com]
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Tachycardia
Emotional or physical stress can precipitate dysautonomic crises with nausea, vomiting, agitation, tachycardia, and hypertension. Physical growth may be slow and scoliosis is common. Patients are susceptible to self-injury. [disorders.eyes.arizona.edu]
Cardiac origins of the postural orthostatic tachycardia syndrome. J Am Coll Cardiol. 2010;55:2858-2868. Raj SR. Clinician Update: Postural Tachycardia Syndrome (POTS). Circulation. 2013;127:2336-2342. Schondorf R, Low PA. [mededmasters.com]
No healthy or syncope control patients had orthostatic tachycardia. [nature.com]
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Orthostatic Hypotension
POTS can be diagnosed in the presence of chronic symptoms of orthostatic intolerance (of at least 6 months) accompanied by an increase in heart rate of at least 30 beats per minute within 10 minutes of standing without orthostatic hypotension and in the [mededmasters.com]
IEEE Eng Med Biol Mag 16 : 74–85. 26 Streeten DP 1990 Pathogenesis of hyperadrenergic orthostatic hypotension. [nature.com]
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Left Ventricular Dysfunction
RECENT FINDINGS: Relationships have begun to be established between markers of reduced baroreflex sensitivity and abnormal cardiovascular structure, such as left ventricular dysfunction, left ventricular hypertrophy and arterial stiffness. [ncbi.nlm.nih.gov]
Musculoskeletal
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Diffuse Muscle Wasting
Physical examination revealed mild diffuse muscle wasting, and neurological examination showed resolving deficits consistent with her original stroke syndrome. [jamanetwork.com]
Eyes
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Miosis
Miosis follows administration of methacholine chloride. Optic neuropathy with pallor is often present. Systemic Features: Vasomotor instability and sensory neuropathy are among the outstanding signs in familial dysautonomia. [disorders.eyes.arizona.edu]
Examination revealed a right partial Horner syndrome (ptosis and miosis), right palatal paresis, right hemiataxia, and right face and left body sensory loss to pain and temperature. [jamanetwork.com]
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Decreased Lacrimation
Dysautonomia, Familial Clinical Characteristics Ocular Features: Decreased lacrimation is the major ocular feature in this syndrome and it may be sufficiently severe to result in corneal damage. [disorders.eyes.arizona.edu]
Skin
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Flushing
Vasomotor instability is more commonly termed " hot flushes " or " hot flashes ." The frequency, severity, or diurnal variation with which hot flushes occur can result in significant disruptions of sleep and daytime function. [rrnursingschool.biz]
This study followed up a group of women over five years, to examine whether current levels of flush-related distress/discomfort were associated with past and present control beliefs, catastrophic thoughts and coping strategies. [bura.brunel.ac.uk]
Feeling of hot flushes, Flash hot, Flush hot, Hot flushes NOS, Hot flushes menopausal, Hot flushes, menopausal, Menopause flushing, Hot Flashes [Disease/Finding], hot flushes, flushed hot, Hot flushes;menopausal, hot flush menopausal symptom, flushing [fpnotebook.com]
The dependent side of the skin becomes flushed (erythematous) and the uppermost side becomes pale. If the infant is turned to the other side, the appearance of the skin reverses. It is proposed that this condition results from vasomotor instability. [myfertilityguide.biz]
Hot flushes are due to vasomotor instability and are usually related to the female menopause. Aetiology Hot flushes are thought to be related to changes in central nervous system neurotransmitters and peripheral vascular reactivity. [patient.info]
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Increased Sweating
Signs and symptoms Figure 2 This diagram shows how a nerve injury may cause a “short circuit” in the nervous system resulting in sympathetic over activity in the hand with burning pain, swelling, and increased sweating. [davidlnelson.md]
Neurologic
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Dysautonomia
A brief report describes 4 sibs with a clinical picture similar to familial dysautonomia with a mutation in DST (6p12.1). [disorders.eyes.arizona.edu]
So to me it does sound like dysautonomia ... but yet my autonomic nervous system proves to be intact and all with the 3 basic tests.... So it's a tricky and delicate thing to discern I guess... [dinet.org]
Further studies on this topic would establish or refute the association between 22q11DS and dysautonomia. [ncbi.nlm.nih.gov]
Further studies on this topic would establish or refute the association between 22q11DS and dysautonomia. 2003 Wiley‐Liss, Inc. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. [onlinelibrary.wiley.com]
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Indifference to Pain
Deep tendon reflexes are often diminished or absent and there is a general indifference to pain and temperature. The lingual fungiform papillae are missing resulting in taste disturbances. [disorders.eyes.arizona.edu]
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Motor Symptoms
Six of the eight patients (75%) obtained some relief from their vaso- motor symptoms after treatment with pregabalin. The benefit was rated as slight by one patient, good by one pa- tient, and excellent by four patients. [slideshare.net]
There were no motor symptoms and no rash. CSF analysis showed 249 leukocytes/mm3, 70 mg/dl protein, and positive of VZV DNA by PCR. [intechopen.com]
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Action Tremor
A 70-year-old right-handed woman with a history of thyroidectomy, mastectomy, hysterectomy, depression, and action tremor presented with the acute onset of headache and nausea. [jamanetwork.com]
Workup
[…] acyclovir-resistant VZV, detections of mutations in thymidine kinase can be determined by PCR and sequence analysis MRI may be useful if myelitis or encephalitis is suspected Lumbar puncture may be helpful if signs suggest myelitis or encephalitis See Workup [emedicine.medscape.com]
EEG
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Epileptiform Activity
Continuous electroencephalographic monitoring during these events showed no epileptiform activity, and treatment with phenytoin had no effect. Evaluations for sepsis, pheocromocytoma, and hyperthyroidism were also negative. [jamanetwork.com]
Hypertrophy
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Ventricular Hypertrophy
RECENT FINDINGS: Relationships have begun to be established between markers of reduced baroreflex sensitivity and abnormal cardiovascular structure, such as left ventricular dysfunction, left ventricular hypertrophy and arterial stiffness. [ncbi.nlm.nih.gov]
Treatment
This fourth part focuses on the treatment of urogenital atrophy, vasomotor instability, sleep disorders, and other related symptoms. [ncbi.nlm.nih.gov]
Other hormonal treatment-related symptoms also improved with pregaba- lin therapy. [slideshare.net]
The field of gender-specific medicine examines how normal human biology and physiology differ between men and women and how the diagnosis and treatment of disease differs as a function of gender. [books.google.com]
Abstract This article describes a novel transdermal estradiol spray developed for the treatment of menopausal vasomotor instability. [journals.sagepub.com]
Prognosis
PMID: 9322380 Prognosis Pendón G, Salas A, García M, Pereira D Reumatol Clin 2017 Mar - Apr;13(2):73-77. Epub 2016 Apr 28 doi: 10.1016/j.reuma.2016.03.015. [ncbi.nlm.nih.gov]
Although the prognosis of meningitis is good, encephalitis and myelitis often result in sequelae, and a delay in the initiation of acyclovir treatment leads to poor prognosis. [intechopen.com]
The prognosis is good if the CRPS is diagnosed early and treated aggressively. The confusing nature of the condition and it causes as well as its variable presentation often leads to a delayed diagnosis. It is not easy to either diagnose or treat. [davidlnelson.md]
Families should be informed that while prognosis is generally favorable, between 25% and 33% may suffer recurrences in the same location or in another area.3,5,9 In conclusion, it should be emphasized that RSD is a chronic, painful disease associated [scielo.br]
Despite encountering VZV infections in patients with worse expected prognosis, the OS in patients who developed VZV infection was superior to that in patients who never developed the infection [19]. [heighpubs.org]
Etiology
PART IV 273 The Problem of Bleeding in Cancer 285 The Problem of Infection in Cancer 307 The Problem of Mucositis in Cancer 328 Neurologic Disturbances Gail M Wilkes rnc msn anp aocn 344 Spinal Cord Compression 350 Increased Intracranial Pressure 358 Etiology [books.google.com]
Etiology Womens Health (Lond) 2009 Jan;5(1):23-8. doi: 10.2217/17455057.5.1.23. PMID: 19102636 Plouffe L Jr, Trott EA, Largoza M, Hansen KA Del Med J 1997 Sep;69(9):481-2. [ncbi.nlm.nih.gov]
Etiology The etiology of rosacea is unknown, though certain exacerbating factors undoubtedly have a role in predisposed individuals. 3,4 Emotions such as anger, anxiety, and embarrassment can lead to flushing. [mdedge.com]
Rather, it is hypothesized to be the result of vasomotor instability secondary to a sympathetic dysautonomic process mediated by immature hypothalamic control although the etiology remains unclear at this time.1 This phenomenon has most frequently been [anesthesiology.pubs.asahq.org]
Epidemiology
Thus major advances in headache epidemiology may be expected to occur when migraine is defined by a laboratory finding'. [books.google.com]
What does epidemiology tell us about risk factors for herpes zoster? Lancet Infect Dis. 2004;4(1):26-33. Tseng HF, Smith N, Harpaz R, Bialek SR, Sy LS, Jacobsen SJ. [cdc.gov]
EPIDEMIOLOGY: Varicella-zoster infections occur worldwide. Varicella/chickenpox is more common in temperate climates than in tropical countries. [canada.ca]
The epidemiologic relationship of clinical nasal allergy to eosinophils and to goblet cells in the nasal smear. Journal of Allergy, 43 : 1. PubMed CrossRef Google Scholar 15. Parrot, J. L. (1938). [link.springer.com]
Epidemiology Rosacea in childhood is most likely underreported because of its clinical similarity to other erythematous facial disorders. 1 Rosacea is generally thought of as a disease of fair-skinned, young to middle-aged adults, though it has been noted [mdedge.com]
Pathophysiology
Vasomotor instability during haemodialysis has traditionally been identified as a pathophysiological state largely due to the failure of compensatory mechanisms during ultrafiltration. [ncbi.nlm.nih.gov]
[…] decompression surgery, disease association, female, foramen magnum, human, Humans, hypertension, incidental finding, infant, letter, male, medulla oblongata, meningomyelocele, neurogenic vasomotor instability, newborn, nuclear magnetic resonance imaging, pathophysiology [amrita.edu]
The Second Edition of Principles of Gender-Specific Medicine focuses on the essentials of gender-specific medicine and the current study of sex and gender differences in human physiology and pathophysiology. [books.google.com]
Agreement between researchers in the orthopaedic and pain therapy communities will allow improved understanding of the pathophysiology, possible prevention and future methods of managing CRPS. [online.boneandjoint.org.uk]
Prevention
Placement of a phrenic nerve pacemaker can prevent these complications, without the functional limitations imposed by continuous mechanical ventilation. [ncbi.nlm.nih.gov]
[…] gender-specific features and quantifies "gender" and "sex" as risk factors across all major diseases Qualifies and analyzes the results of new drug therapies designed with gender-specific differences in mind: ex, hormone therapy in men and women for the prevention [books.google.com]
Themoregulation and heat loss prevention after birth and during neonatal intensive-care unit stabilization of extremely-low-birth weight infants. J Obstet Gynecol Neonatal Nurs 2007;36:280-7. 3. Buetow K, Klein S. [jcnonweb.com]
– to prevent osteoporosis & sarcopenia [shethhospital.com]