Bedside approach to autonomic disorders : a clinical tutor

Bedside approach to autonomic disorders : a clinical tutor Walter Struhal, Heinz Lahrmann, Alessandra Fanciulli, Gregor K. Wenning, editors. - 1 recurso en línea

Incluye referencias bibliográficas e índice

1: General Approach to Patients with Autonomic Disorders: "What Is the Autonomic Disease?" -- A Basic Tutorial to Autonomic Physiology and Pathophysiology; 1.1 Introduction; 1.2 Neuroanatomy; 1.2.1 Autonomic Cardiovascular Regulation; 1.2.1.1 Arterial Baroreceptor Reflex, Fig. 1.2; 1.2.1.2 Orthostasis and Active Standing; 1.2.2 Autonomic Regulation of Sweating; 1.2.3 Autonomic Regulation of the Gastrointestinal Tract; 1.2.4 Modulation of Autonomic Control During Sleep; References; 2: Autonomic History Taking and Key Symptoms: Where Is the Autonomic Disease? 2.1 History Taking: You Need to Know What You're Looking for2.2 Key Autonomic Symptoms (Per Domain); 2.2.1 Cardiovascular Autonomic Dysfunction; 2.2.1.1 How Does the Patient Complain About It; 2.2.1.2 Can I Be Sure? Alternative Etiologies to Take into Account; 2.2.2 Dermatological (Sweating and Vasomotor Disorders); 2.2.2.1 How Does the Patient Complain About Them; 2.2.2.2 Can I Be Sure? Alternative Etiologies to Take into Account; 2.2.3 Urogenital; 2.2.3.1 How Does the Patient Complain About Them; 2.2.3.2 Can I Be Sure? Alternative Etiologies to Take into Account. 2.2.4 Gastrointestinal2.2.4.1 How Does the Patient Complain About Them; 2.2.4.2 Can I Be Sure? Alternative Etiologies to Take into Account; 2.2.5 Respiration and Sleep; 2.2.5.1 How Does the Patient Complain About Them; 2.2.5.2 Can I Be Sure? Alternative Etiologies to Take into Account; 2.2.6 Ophthalmological Autonomic Dysfunction; 2.2.6.1 How Does the Patient Complain About It; 2.2.6.2 Can I Be Sure? Alternative Etiologies to Take into Account; 2.2.7 Useful Screening Tools: Autonomic Questionnaires; 2.3 Other Important Clues from History Taking. 2.3.1 Time Course: Episodic/Situational, Acute, Subacute, and Chronic Symptoms2.3.2 Age and Gender; 2.3.3 Family History; 2.3.4 Comorbidities: Main Suspects; 2.3.5 Additional Neurological Signs; 2.4 From Autonomic Symptoms to a Diagnostic Hypothesis; 2.4.1 Primary Autonomic Diseases; 2.4.2 Secondary Autonomic Diseases; References; 3: The Diagnosis and Management of Cardiovascular Autonomic Dysfunction and Disease; 3.1 Diagnostic Approaches to Cardiovascular Autonomic Diseases; 3.1.1 History, Neurological and General Evaluation, and ECG Assessment. 3.1.2 What Clinical Signs Hint to a Cardiovascular Autonomic Disease?3.2 What Can I Differentiate Already at Bedside and How Do I Manage the Patient?; 3.2.1 Hypotension; 3.2.1.1 Orthostatic Hypotension; Definition; Epidemiology; Non-neurogenic Causes of OH; Examination; Treatment of OH; General Management [5, 26]; Non-pharmacological Treatment; Pharmacologic Treatment; 3.2.1.2 Postprandial Hypotension (PPH); Definition; Risk Factors for Postprandial Hypotension [47]; Treatment of PPH; Non-pharmacological Management [48]; Pharmacological Management [26, 49].

"This book is a guide to the everyday clinical management of disorders of the autonomic nervous system, from identification of the key symptoms of autonomic involvement and comprehensive history taking to choice of treatment. The book will assist the reader in determining the anatomic distribution of the disease, as well as underlying autonomic syndromes, and in transforming the clinical picture into a coherent explanation of the patient's autonomic problem. In addition, guidelines are provided on selection of the most appropriate autonomic and laboratory tests and formulation of appropriate non-pharmacological and pharmacological management strategies. With cases drawn from clinical experience and a list of available online resources, Bedside Approach to Autonomic Disorders will aid the reader in acquiring the skills that are mandatory in order to put patients on the right clinical track. It will be a valuable guide for trainees and young doctors interested in autonomic disorders from the fields of neurology, internal medicine, cardiology, diabetology, and urology"-- Here is a practical reference for the everyday clinical management of ANS disorders. It features a problem-oriented approach to managing patients at the bedside and presents clinical cases to illustrate important syndromes.

3319051431 9783319051437


Sistema nervioso vegetativo

RC407 / 2017 EB