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PATIENT CARE STANDARD - Sutter Medical Center, Sacramento
PATIENT CARE STANDARD - Sutter Medical Center, Sacramento

Overview of a Patient Encounter
Overview of a Patient Encounter

A Patient`s Guide to Endonasal Endoscopic Surgery for Pituitary
A Patient`s Guide to Endonasal Endoscopic Surgery for Pituitary

... endocrinologist (hormonal specialist) and in some cases by a neuro-ophthalmologist (visual assessment). A complete pre-operative pituitary hormonal laboratory evaluation under the guidance of an endocrinologist is typically necessary to establish baseline pituitary function. In instances of function ...
What do you do? - HIV Care Management Initiative
What do you do? - HIV Care Management Initiative

... 6 months later, he is still in remission. His mental status improves but not completely 12 months later he relapses, responds transiently to radiation therapy but ultimately succumbs to tumor progression and respiratory failure. ...
Progressive Supranuclear Palsy
Progressive Supranuclear Palsy

Abnormal Involuntary Movement Disorders (Dyskinesias)
Abnormal Involuntary Movement Disorders (Dyskinesias)

Pediatric Hearing Loss
Pediatric Hearing Loss

... Hearing loss can affect many areas of a child’s social language learning. This type of loss can effect a child’s understanding of oral language around them, their production of speech and their communication with others. ...
VRAGEN CALCIUM METABOLISME 3] A 28-year
VRAGEN CALCIUM METABOLISME 3] A 28-year

... 3] A 28-year-old woman is evaluated for a serum calcium level of 11.0 mg/dL (2.74 mmol/L) obtained during a routine physical examination. All other laboratory values are normal. The parathyroid hormone (PTH) level was subsequently checked and is 40 pg/mL (40 ng/L). The patient is healthy and has no ...
Carbon Dioxide Embolism During Pneumoperitoneum
Carbon Dioxide Embolism During Pneumoperitoneum

... potential complication of laparoscopic surgery. An embolism may occur during insufflation of the abdomen after incorrect placement of a Veress needle into a vascular organ or an intra-abdominal vessel. If the co2 embolism is not recognized, it can be rapidly fatal for the patient unless the patient ...
Cochlear implantation in patients with vestibular schwannoma
Cochlear implantation in patients with vestibular schwannoma

... major surgery. In addition, it avoids the potential pitfall of cochlear fibrosis or ossification, which may follow labyrinthectomy.18 However, the main concern about this strategy is that, even if the cochlear nerve is structurally intact following removal of VS, it may not necessarily be functionin ...
Sacred Heart Hospital on the Emerald Coast
Sacred Heart Hospital on the Emerald Coast

... Commonly ordered on patients with gastro paresis, nausea, vomiting, esophageal reflux, severe weight loss, abdominal pain, and more. This test will provide a gastric emptying half time. Prep for this study requires the patient to be NPO 4 to 6 hours prior to exam. Adult patients will be required to ...
Clinical presentation and diagnosis of brain tumors
Clinical presentation and diagnosis of brain tumors

... association cortex (see 'Visual spatial dysfunction' below). Some of the other corticallybased sensory deficits include loss of spatial orientation, tingling, and lack of coordination. Aphasia — Aphasia is a disorder of language function, not of vocalization, as in dysarthria or hoarseness. It is a ...
Reversible Left Recurrent Laryngeal Nerve Palsy in
Reversible Left Recurrent Laryngeal Nerve Palsy in

... a unilateral left recurrent laryngeal nerve palsy. A marked enlargement of the thymus was discovered on thoracic imaging. Treatment was initiated with methimazole, with near complete remission of her vocal cord paralysis within 3 months. Given the immunomodulatory effects of methimazole, a potential ...
Pressure ulcers
Pressure ulcers

... warm, moist and is not well ventilated. Since there are many orifices (urinary meatus, vaginal orifice and the anus) situated in this area, the pathogenic organisms can enter into the body. Thorough cleanliness is essential to prevent bad odour and to promote comfort. • The most pertinent principle ...
Bulimia Nervosa
Bulimia Nervosa

... A 45 year old female patient presented to her primary care provider’s office for a checkup. She reports that she has been feeling more tired than usual and experiences dizzy spells. Upon review of health history the nurse discovers the woman has been having irregular menstrual periods and having dif ...
(PET) and 24 hour adequacy Test
(PET) and 24 hour adequacy Test

... plasma creatinine ratio of creatinine, patients can be classified as high, high average, low average or low transporters. The PET is very helpful for prescribing both APD and CAPD, since knowledge of a patient's peritoneal permeability allows a better estimation of the dwell time that will achieve t ...
p. S11 - Viktor`s Notes for the Neurosurgery Resident
p. S11 - Viktor`s Notes for the Neurosurgery Resident

...  ONSET – insidious; symptoms appear after age 50 (early-onset – before age 50).  COURSE - slowly steadily progressive (plateaus sometimes occur during which cognitive impairment does not change for year or two, but progression then resumes), vs. step-wise deterioration in multi-infarct dementia. A ...
Assessment and treatment of dizziness EDITORIAL
Assessment and treatment of dizziness EDITORIAL

... BPPV attacks in about four out of five patients.11 Those who are resistant to repeated repositioning manoeuvres can be cured by surgical occlusion of the posterior semicircular canal.12 Post-traumatic cases in particular can be bilateral but it is sometimes diYcult to tell bilateral BPPV from unilat ...
NEXTGEN PRENATAL INTAKE VISIT DEMONSTRATION
NEXTGEN PRENATAL INTAKE VISIT DEMONSTRATION

... the coming months. • The primary advantage of using a patient portal is to provide a secure means of communication between patients and medical practices, which should be more efficient than playing “Phone Tag”—hopefully improving patient care, as well as patient and provider satisfaction. ...
Hernia-Laparoscopic Inguinal Hernia Repair
Hernia-Laparoscopic Inguinal Hernia Repair

... are obese, smoking, or history of diabetes. Emergency surgery increases the risk with these conditions. Uncommon risks and complications include: • the laparoscopic technique may not be possible and the surgeon may need to change technique to open surgery; • damage to large blood vessels, gut or b ...
Karon on trauma and schizophrenia
Karon on trauma and schizophrenia

... on, what had happened, and that she had been saved from the trauma of ECT by my recommendation, which even her psychiatrist now admitted would have been a mistake. I said I wanted to see what else I could do that might be helpful. (Since I was scheduled to go on sabbatical at the end of the term, I ...
Summary of Resuscitation Techniques
Summary of Resuscitation Techniques

CME Guides - Epilepsy Group
CME Guides - Epilepsy Group

... Seizures in sleep disorders  In patient with epilepsy  Evaluation for a sleep disorder should be done if the patient ...
the magazine pdf - South Florida ENT Associates
the magazine pdf - South Florida ENT Associates

... The aging neck is one of the most challenging areas to treat in facial rejuvenation surgery. The transformations that occur in the neck as a result of the aging process are increasing skin redundancy, inflation, and muscle descent. The surgeon should plan and address these during the surgery to maxi ...
Noninvasive Positive Pressure Ventilation Homecare Training
Noninvasive Positive Pressure Ventilation Homecare Training

... vii. Rise Time a. Time (ms) the device takes to go from EPAP to IPAP b. Maintains set time during each breath c. Influenced by:  Pulmonary or circuit compliance  Pulmonary or circuit resistance  IPAP-EPAP difference (P)  Inspiratory effort  Leak  What is Rise Time (see Graphs G.1-H.1) d. Comf ...
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Dysprosody

Dysprosody, which may manifest as pseudo-foreign accent syndrome, refers to a disorder in which one or more of the prosodic functions are either compromised or eliminated completely.Prosody refers to the variations in melody, intonation, pauses, stresses, intensity, vocal quality and accents of speech. As a result, prosody has a wide array of functions, including expression on linguistic, attitudinal, pragmatic, affective and personal levels of speech. People diagnosed with dysprosody most commonly experience difficulties in pitch or timing control. Essentially, people diagnosed with the disease can comprehend language and vocalize what they intend to say, however, they are not able to control the way in which the words come out of their mouths. Since dysprosody is the rarest neurological speech disorder discovered, not much is conclusively known or understood about the disorder. The most obvious expression of dysprosody is when a person starts speaking in an accent which is not their own. Speaking in a foreign accent is only one type of dysprosody, as the disease can also manifest itself in other ways, such as changes in pitch, volume, and rhythm of speech. It is still very unclear as to how damage to the brain causes the disruption of prosodic function. The only form of effective treatment developed for dysprosody is speech therapy.
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