What does the classic triad of normal pressure hydrocephalus correctly consists of? A: Gait disturbance, aphasia, dementia • The reason this is the wrong answer is because aphasia is not consider to be part of the triad in normal pressure hydrocephalus. It is possible for some patient exhibit symptoms of aphasia, agnosia and apraxia which are known as cortical features. B: Gait disturbance, urinary incontinence, dementia • Normal Pressure hydrocephalus is a condition caused by enlarged…
Paul Salem is a 70 year-old male with significant chronic obstructive pulmonary disease (COPD). He has no medication allergies and reports using prescribed albuterol inhaler 90mcg, about 4-5 times per week for his COPD, and Phenytoin 3 capsules of 100mg each at bedtime for his seizure treatment. Patient states he has been adherent to his medication regimen through the use of his med box. He also reported he has not had a seizure for several years and his COPD is well stable at the moment. He…
while other experience twitching arms and legs. The loss of consciousness brought on by an epileptic seizure can make it easy to fall over, causing injuries. Therefore, people with epilepsy have a higher incidence of fractures and patients who take phenytoin have an even higher risk, since the drug may cause osteoporosis. 2. Accidents – (1) Car accidents. In order for a patient with epilepsy to obtain a driver’s license, a doctor must confirm that the patient has been seizure-free for 3-6 months…
medication to alleviate the symptoms, disease-specific treatment to delay and prevent possible serious organ damage, and adherence to standard health care measures and a healthy lifestyle. Daily prophylactic doses of neuropathic pain agents (eg, phenytoin, carbamazepine, gabapentin, or a combination of these agents) provide some degree of relief. They are effective in decreasing the frequency and severity of pain episodes or pain crises in most…
Lamictal (lamotrigine) is an anti-epileptic medication, also called an anticonvulsant.It is used either alone or in combination with other medications to treat epileptic seizures in adults and children. This drug is also used to delay mood episodes in adults with bipolar disorder (manic depression). Precautions: You should not take this drug if you are allergic to lamotrigine. To make sure you can safely take Lamictal, tell your doctor if you have any of these other conditions: * kidney or…
Dopamine D2 receptor agonists Bromocriptine quick release (QR) is a dopamine D2 receptor agonist licensed in some countries outside Europe for treatment of T2DM as an adjunct to lifestyle changes . The effect of bromocriptine on glycaemic parameters has been noted since 1980. The drug provides a morning boost to hypo¬thalamic dopamine levels, consistent with normal diur¬nal glucoregulation, and contributing to a reduction of sympathetic tone, neural suppression of hepatic glucose production and…
but the condition is associated with herpes simplex virus (HSV) infection in many cases. It is also said to be a reaction to an illness or infection which causes damage to the skin cells. In several other cases, medications such as seizure drugs (phenytoin), anesthesia drugs (barbiturates), nonsteroidal anti-inflammatory drugs (ibuprofen), antibacterial drugs (sulfonamides), pencillin, and other antibiotics seem to trigger erythema multiforme. In some studies, Mycoplasma pneumoniae and many…
Head injury constitutes a major cause of death in our country particularly in young and active persons. 1 person dies of head injury in every minute in India. Prevention, early and proper treatment will make a significant effect in reducing the morbidity and mortality due to head injury. DEFINITION: Injuries causing functional and/ or structural damage to the brain constitutes head injury and not just any injury causing damage to head and scalp region. Head injury can alter the functional status…
hirsutism as in case of PCOS, Hyperprolactinemia etc conditions. 4. Family history- It runs in certain family, specific ethnic groups and also has some genetic influence. 5. Drug history - various drugs like anabolic steroids, danazol, cyclosporine, phenytoin, triamterene-hydrochlorothiazide, minoxidil, hexacholorobenzene, penicillamine,…
Early reports on epilepsy go back to ancient Assyrian and Babylonian texts. It has a fascinating history that scans a period of almost 4000 years. At that time the Babylonians had no concept of pathology, thus epilepsy and the seizures that are often times associated with it were treated as spiritual and not medical. It wasn't until the 18th and 19th century, when medicine made important advances, that religious superstition emancipated the fact that epilepsy was a medical condition. The word…