一个晚上喝酒后新出现的手腕下降:一个案例报告
Moronkeji Fagbemi1, Narges Joshaghani2
1Internal Medicine and Addiction Medicine, BronxCare Health System, New York, USA.
Cureus
|May 27, 2024
概括
本案例报告详细介绍了一名患有物质使用障碍和突然外围神经病变的患者的评估. 一个彻底的临床方法,包括病史,检查和测试,有助于诊断和管理这种情况,防止严重的并发症.
科学领域:
- 神经学 神经学
- 毒理学 毒理学 毒理学
- 内部医学 内部医学
背景情况:
- 药物使用障碍可能会出现各种神经系统并发症.
- 外围神经病变需要全面的差异诊断,特别是伴随疾病.
- 心血管风险因素可能使神经症状的评估复杂化.
研究的目的:
- 为了说明SUD患者突然发作的外周神经病变的系统临床评估.
- 强调在复杂病例中广泛差异诊断的重要性.
- 突出神经复杂症和SUD的综合管理.
主要方法:
- 详细的病史和彻底的体检.
- 有针对性的实验室和放射学调查.
- 多学科咨询和治疗规划.
主要成果:
- 成功排除了危及生命的差异,如脑血管事故.
- 确定了外围神经病变的根本原因.
- 开始对神经系统缺陷和严重酒精使用障碍进行综合治疗.
结论:
- 精细的临床方法对于诊断SUD患者的外围神经病变至关重要.
- 综合护理解决医疗并发症和成对于最佳的患者结果至关重要.
- 预防复发的策略对于长期的康复和管理至关重要.
相关概念视频
Assessment of blood pressure in brachial artery(one-step method)
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
Drug Toxicity: Risk factors
Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
Sleepwalking and Sleep Talking
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
REM Sleep Behavior Disorder
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
Restless Leg Syndrome and Night Terrors
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
Substance Use Disorders Affecting Sleep
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...


