Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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combined influence upon an organ is of opposing, but balancing antagonistic nature, meaningthat the predominance of one system can inhibit a certain function, whereas that of the othersystem would stimulate the same function. Increased activity in one of the two autonomicsystems inevitably causes an activity decrease in the other, but without ever completely disablingit. It is therefore impossible for an organ to be under maximal sympathetic and maximalparasympathetic influence at the same time, one can only dominate at the expense of the other.This is the equivalent of the interdependency of the organs' so-called Yin and Yang states inChinese medicine.Let us have a closer look at autonomic nervous activity with regard to the smooth muscles ofsome internal organs: sympathetic innervation of the heart, for instance, results in an increase infrequency, whereas predominantly parasympathetic stimulation decreases it. This exampleclearly shows that the heart cannot be equally stimulated <strong>by</strong> sympathetic and parasympatheticimpulses, because that would mean it had to beat fast and slow at the same time. But the optionsare not just "heart racing" or "cardiac arrest" either. The frequency increases or decreasesaccording to the prevalence of one or the other influence: the inputs of both systems are balancedwith each other.With the intestines, parasympathetic innervation causes the intestinal muscles to move more,sympathetic innervation slows down their activity. The bronchial muscles contract withparasympathetic stimulation and relax with sympathetic stimulation. In the eye, sympatheticactivity results in the pupil's dilation <strong>by</strong> sending impulses to the respective intrinsic eye muscles,and parasympathetic innervation causes the pupil to constrict.Thus the functional condition of an organ that is innervated both sympathetically andparasympathetically always depends on the balance of activity between both. The determiningfactor, however, is the predominance of the stimulating or the inhibiting aspect of the autonomicnervous system with regard to that particular organ.Sympath. NerveParasymp. NerveHeart / smooth muscle + –Blood VesselsVasoconstricion + Ø
Vasodilatation - ØIntestineslongitudinal MusculatureSphincters–++–Urinary BladderDetrusor vesicaeSphincter internus–++–Bronchial Muscles – +Internal Genitals +/– ØEyeM. radialis( Dilatation of Pupil)(Constriction of Pupil)M. ciliaris (Lense)M. taris (Upper Lid)+–?–+Ø++ØGlandsSweat GlandsSalivary GlandsLacrimary GlandsDigestive GlandsBronchial Glands++?–?–?Ø++++
Page 1 and 2: NeurologyEdited by Professor Emerit
Page 3 and 4: That I only found when studying Wil
Page 5: fig. 2: origins and distribution of
Page 9 and 10: those two modes, its contact with t
Page 11 and 12: epressive sexual education/impaired
Page 13 and 14: "The vegetative“ (autonomic) "ner
Page 15 and 16: 4.1. TechniqueOver the years, lots
Page 17 and 18: medication which either only battle
Page 19 and 20: the ANS' level, stress means sympat
Page 21 and 22: In therapy, we work from the tensio
Page 23 and 24: Naturally, besides the intensive tr
Page 25 and 26: neck furthermore intercepts the flo
Page 27 and 28: Robert A. Dew puts asthma down to t
Page 29 and 30: Looking at the vernacular gives the
Page 31 and 32: 5.5. Peptic Ulcer5.5.1. Pulsation o
Page 33 and 34: appears "openly dependent" or, if c
Page 35 and 36: During the resolution of the blocks
Page 37 and 38: Heike S. Buhl M.D., born 1955. Trai
Page 39 and 40: TitleDiagnosing and Treating Injure
Page 41 and 42: ody electrolyte strength will gener
Page 43 and 44: As presented, the peak of the first
Page 45 and 46: This situation has an important imp
Page 47 and 48: fibers. Sequential action potential
Page 49 and 50: and active tissue under electrode B
Page 51 and 52: Action potentials of injured cardia
Page 53 and 54: a nearby electrode and a distant re
Page 55 and 56: The distances between the poles of
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ecorded simultaneously the membrane
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When there are conditions of hypoad
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Trauma and injuries are a natural a
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BOOKS1. An Advanced Treatise in Qua
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One of the easiest ways to learn ab
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HOMEOPATHIC TREATMENT OF PAINAbstra
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DESCRIPTION: PAIN - HEAT IMPROVESNU
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BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
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tissues to bring about a lowering i
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CAUSES OF HEADACHE PAIN (Vindicate)
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ARTICLES AND STUDIES1. A Practical
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impairment or "disability" evaluati
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criteria:The third step is the comp
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5. Estimate of the expected date of
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ImpairmentThe Extremities, Spine, a
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3. Explanation for concluding that
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3.1b Principles and Methods of Impa
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The range of motion should be recor
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IA is a function of V when Vext = V
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Interphalangeal Joint-Flexion and E
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Example: Thumb metacarpophalangeal
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Note: Because the relative value of
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Determine the length of the finger
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position (0 cm) to: Lost Retained o
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If the metacarpophalangeal joint is
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40 of ring finger 450 of little fin
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Joint-Radial and Ulnar DeviationMea
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Flexion IA%=21%Lateral deviation IA
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extremity.Flexion and ExtensionMeas
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the upper extremity, and 15% impair
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Add the impairment values for flexi
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Internal and External RotationMeasu
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shoulder motions (flexion/ extensio
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The peripheral spinal nerves consti
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obtained history, a thorough medica
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Example: In an injury, a patient su
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associated with those particular ne
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Ulnar or Radial Deviation%Digit Imp
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Joint Instability% Joint Impairment
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Example: Implant resection arthropl
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Intrinsic tightness in the hand may
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Extensor TendonSubluxation Severity
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With the patient plantar-flexing th
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0° 30° 0° 4510° 20° 10° 3020
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Center the goniometer over the meta
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Example: If 50% of the distal phala
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of the toe being tested (Figure 61c
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Center the goniometer over the late
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Inversion and Eversion (Subtalar Jo
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10° active dorsi-flexion 410° act
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Place the goniometer base as if mea
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Add the impairment values contribut
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Place the goniometer base as if mea
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Hip Joint-Two or More Ranges of Mot
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3.2f Impairment of the Lower Extrem
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In evaluating pain that is associat
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After the individual values for los
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value for loss of function = 15%) 1
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Principles for Calculating Impairme
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motion or ankylosis.B. Repeat the a
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is the greatest angle measured.5. C
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Example: Occipital flexion measurem
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possible, again recording both incl
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Cervical Region-RotationBecause the
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minimum kyphosis is actually a meas
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2. With the subject in either the s
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1. The subject may be seated or sta
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3.3) Ask the subject to rotate the
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3.3e Impairments Due to Range of Mo
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(for automated devices capable of c
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Example: T12 flexion measurements o
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3. Record the "0" readings first at
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3.4 The PelvisThe following shows i
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Addendum to Chapter 3A. Introductio
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1. If applicable, use Table 49 (p.
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B. Repeat the above steps for secon
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2. Consult the Ankylosis Section of
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impairment of the whole person.Exam
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Ankylosis1. Place the goniometer ba
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6. Add the impairment values contri
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FINAL IMPAIRMENT RATING FOR WHOLE M
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Combined value of spinal impairment
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There is a neutral or relaxed perio
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SPHENOBASILAR/CRANIAL BASE TORSIONT
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IMPAIRMENT OF THE NERVOUS SYSTEMThe
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upper extremities, controlling blad
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2. Neurological disorder results in
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4) Neurological: Grades = 5=normal
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4) Neurological:Sensation: (right/l
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technique on the part of the physic
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Direct TechniqueWith the patient co
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CONTRAINDICATIONSThe only contraind
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In order to determine the presence
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IX Glosso- pharyngealPharynx muscle
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ReflexesMuscle stretch reflexes, cu
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Abdominal skin reflex (exteroceptiv
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Sensory symptomsPersistant or episo
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Pyramidal tract signsEponym Manoeuv
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doubts of survival7. Psychotic symp
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· Foramen jugulare syndrome (Siebe
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For cranial nerve stimulation the c
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Demonstration of specific antibodie
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4.6.2 Explosive type4.6.3 Postural
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8.4.2 Caffeine withdrawal headache8
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Headache: differential diagnosisDes
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Diagnostic criteria of drug-induced
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convexity), glioblastoma, oligodend
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Hypothalamic regulatory hormonesHyp
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0 = normal1 = stride down to 30-45
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Parkinsonism: causesAetiology or Pa
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Paradoxical hyperkinesiaSudden good
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Meige syndrome(bilateral facial spa
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ThalamotomyScale for quantification
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Eating10 = independent (with aids)5
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InfectionsMeningitisOtitis media, m
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OculomotorDependent on surgery, var
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AreflexiaSlowed nerve conduction ve
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Causes of lumbosacral root disorder
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Compartment syndromescompartmentsAu
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Lateral root of median nerve (C5-C7
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Palsy without pronator, teres invol
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Baker's cyst (in rheumatoid arthrit
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Gluteal nerve lesionsIntramuscular
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Differential diagnosis of important
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2. C8 root syndromeMotor lossAs for
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Congenital and usually inherited my
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(iv) Type 7.erythrocytes involved.P
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Myopathies (polymyositis, dermatomy
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denervated muscles.)Prostigmine may
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Polyneuropathy (rarely)Hypothyroidi
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Multiple sclerosis - CAMBS scaleDis
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Intrathecal IgG production ≥90Oli
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THE CV-4 TECHNIQUEThe still point a
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NEUROLOGY TESTBlood pressure should
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To find out about the different neu
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support, clergy support, counseling
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HYGIENESelf-care deficit (specify l
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___________________________________
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ObjectiveHard -formed stoolStrainin
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Definition: [ failure of the heat t
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___________________________________
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Work overloadUnrealistic perception
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Inappropriate or poorly communicate
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Decreased skin turgorIncreased puls
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Definition: The client is unable to
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DEFINING CHARACTERISTICSInternal (i
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SUPPORTING DATAETIOLOGYLack of expo
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Satiety immediately after ingesting
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DEFINING CHARACTERISTICSSubjectiveX
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Does not defend self-care practices
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Cognitive perceptualCultural or spi
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SUPPORTING DATAETIOLOGYEnvironmenta
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Mechanical factorsShearing forcesPr
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Changes in postureFrequent yawningN
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DEFINING CHARACTERISTICSObjectiveSk
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Toxic reactions to medicationBatter
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______Self-concept, disturbance in:
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Bed rest or immobilityDEFINING CHAR
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Unmet needs[Physiological factors,
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___________________________________
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___________________________________
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Inability to speak in sentencesDoes
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Decision and actions by family whic
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ETIOLOGYSituational transition and/
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Hypotension [postural]Increased pul
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Central venous pressure changesJugu
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ObjectiveCryingDevelopmental regres
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Abnormal blood profile: altered clo
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Children playing without gates at t
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Reluctance to attempt movement[C/o
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SubjectiveReported or observed dysf
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diagnosis that adjustment to parent
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Acute Phase:Emotional reactions: an
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SubjectiveVerbalization of:Change i
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SUPPORTING DATAETIOLOGYEnvironmenta
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ETIOLOGYExternal (environmental) fa
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Interrupted sleep[Falls asleep duri
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Alteration in behavior or mood evid
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DEFINING CHARACTERISTICSSubjectiveF
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6) ORTHOPAEDIC TEST/SIGNS:Noted in
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Hibbs (positive) (negative) for (rt
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PROGNOSIS:MODERATE:The prognosis fo
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RECIPESBETTER BUTTERFor those of yo
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or flakes. Begin with 1/2 teaspoon
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in waterfor an elegant main course.
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This recipe also makes an excellent
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adding the celery and carrot near t
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stuffed caps in lightly greased bak
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TOFU SURPRISES2 tablespoons cold-pr
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By following these guidelines, you
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The technique of somatoemtional rec
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SPINAL IMPAIRMENT RATINGWhole Man1.
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59. Do you have a loss of interest
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The technique used to mobilize the
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The technique for evaluation and tr
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