General Approach to Patients with Autonomic Disorders: “What Is the Autonomic Disease?” – A Basic Tutorial to Autonomic Physiology and Pathophysiology

Aug 27, 2017 by in UROLOGY Comments Off on General Approach to Patients with Autonomic Disorders: “What Is the Autonomic Disease?” – A Basic Tutorial to Autonomic Physiology and Pathophysiology

Fig. 1.1 Neuroanatomical organization of the ANS. Sympathetic preganglionic fibers (red). Sympathetic postganglionic fibers (green). Parasympathetic preganglionic fibers (blue). Parasympathetic postganglionic fibers (yellow) Fig. 1.2 Baroreflex. A negative feedback loop…

read more

Bladder and Sexual Dysfunction

Aug 27, 2017 by in UROLOGY Comments Off on Bladder and Sexual Dysfunction

Fig. 5.1 Template of a bladder diary, complete over at least 48 hrs The complete diagnostic work-up of urological autonomic failure is summarized in Fig. 5.2. Fig. 5.2 Neurogenic bladder:…

read more

Autonomic Hyperactivity Syndromes

Aug 27, 2017 by in UROLOGY Comments Off on Autonomic Hyperactivity Syndromes

Fig. 7.1 (a) Admission CT scan showing temporal right contrecoup hemorrhage, right subdural hematoma, subarachnoidal hematoma, and basal skull fracture. (b) Autonomic monitoring day 1: fluctuations of heart rate, blood…

read more

Gastrointestinal Dysfunction

Aug 27, 2017 by in UROLOGY Comments Off on Gastrointestinal Dysfunction

Fig. 6.1 Aetiology of gastrointestinal autonomic dysfunction (Modified from Bittinger et al. [3] with permission from Springer Science and Media) Fig. 6.2 Gastrointestinal manifestations arising from autonomic dysfunction [12] For…

read more

Sweating Disorders

Aug 27, 2017 by in UROLOGY Comments Off on Sweating Disorders

Drug class Common examples Mechanism Anticholinesterases Pyridostigmine Cholinesterase inhibition Antidepressants: selective serotonin reuptake inhibitors Citalopram Serotonergic effect on the hypothalamus or spinal cord  Duloxetine   Escitalopram   Fluoxetine   Fluvoxamine   Mirtazapine   Paroxetine   Trazodone  …

read more

Sleep: Cardiovascular and Ventilatory Disorders

Aug 27, 2017 by in UROLOGY Comments Off on Sleep: Cardiovascular and Ventilatory Disorders

1. Have sleep habits changed? Duration, quality, onset of sleep, sleep interruptions, and nightmares? 2. Daytime sleepiness? Particularly in the morning? Afternoon naps? 3. Increase in blood pressure in the…

read more

Autonomic History Taking and Key Symptoms: Where Is the Autonomic Disease?

Aug 27, 2017 by in UROLOGY Comments Off on Autonomic History Taking and Key Symptoms: Where Is the Autonomic Disease?

Symptom Alternative etiology Cardiovascular Orthostatic intolerance:  Symptoms due to cerebral, retinal, or global hypoperfusion:   Light-headedness, unclear thinking   Blurred vision, loss of peripheral and color vision, darkened vision   Coat hanger or…

read more
Get Clinical Tree app for offline access