End-of-Life Issues in Neurology Informed consent: patient may accept or refuse treatment or diagnostic test after learning about anticipated benefits, risks, and alternative options. Patient autonomy requires accurate information about…
Neurologic Rehabilitation Approaches: (a) bypass neurologic impediment by teaching adaptive techniques using preserved neurologic function (e.g., practice using normal hand for person with paretic arm); (b) facilitate return of neurologic…
Falls in the Elderly More than a third of people age 65 or older fall each year. 5% to 10% of falls in elderly result in injury. Fatality rate increases…
HIV, Fetal Alcohol and Drug Effects, and the Battered Child Pediatric AIDS and HIV Infection Incidence of neurologic abnormalities in HIV-infected cohorts has dropped from around 30% to <2% with…
Occupational and Environmental Neurotoxicology Table 167.1 lists selected neurotoxic syndromes. Table 167.1 Neurotoxic Syndromes Syndrome Agent Occupational or other exposure Acute Chronic Metals Arsenic Pesticides, pigments,…
Complications of Cancer Chemotherapy Tables 166.1, 166.2 list neurologic complications of cancer treatments. Table 166.1 Neurotoxicity of Antineoplastic Drugs Neurologic disorder Drug Peripheral neuropathy Carboplatin, cisplatin, cytarabine, docetaxel, etoposide, fludarabine,…
Iatrogenic Disease Selected adverse neurologic reactions due to drugs or diagnostic procedures listed in Table 165.1. Table 165.1 Adverse Neurologic Reactions Due to Drugs or Procedures for Diagnosis or Therapy…
Drug Dependence Psychic dependence (addiction): craving, drug-seeking behavior. Physical dependence: withdrawal symptoms and signs with abstinence. May occur separately or together. Addiction: psychic dependence. Selected classes of recreational drugs listed…
Alcoholism Ethanol-related deaths >100,000 each year; 5% of all deaths in United States. Problem drinkers: 7% of all adults, 19% of adolescents in United States addicted to ethanol or have…
Somatoform Disorders Somatoform disorders: conversion disorder, somatization disorder, pain disorder, hypochondriasis, body dysmorphic disorder. Somatizing disorders: besides somatoform disorders, also include malingering, factitious disorders, psychological factors affecting a medical condition…
