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The term syncope (Greek, synkope) literally means a cessation, a cutting short or pause Medically, it refers to an episodic loss of consciousness and postural tone and an inability to stand due to a diminished ow of blood to the brain It is synonymous in everyday language with fainting Feeling faint and a feeling of faintness are also commonly used terms to describe the sudden loss of strength and other symptoms that characterize the impending or incomplete fainting spell This latter state is referred to as presyncope Relatively abrupt onset, brief duration, and spontaneous and complete recovery not requiring speci c resuscitative measures are other distinguishing features Faintness and syncope are among the most common of all medical phenomena Practically every adult has experienced some presyncopal symptoms if not a fully developed syncopal attack or has observed such attacks in others Description of these symptoms, as with other predominantly subjective states, is often ambiguous The patient may refer to the experience as light-headedness, giddiness, dizziness, a drunk feeling, a weak spell, or, if consciousness was lost, a blackout Careful questioning may be necessary to ascertain the exact meaning the patient has given to these words In many instances the nature of the symptoms is clari ed by the fact that they include a sensation of faintness and then a momentary loss of consciousness, which is easily recognized as a faint, or syncope This sequence also informs us that under certain conditions any difference between faintness and syncope is only one of degree These symptoms must be clearly set apart from certain types of epilepsy, the other major cause of episodic unconsciousness, and from disorders such as cataplexy, transient ischemic attacks (TIAs), drop attacks, and vertigo, which are also characterized by episodic attacks of generalized weakness or inability to stand upright but not by a loss of consciousness. uwp barcode generator Generate Barcode and QR code in Windows Universal app ...
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how to use barcode reader in asp.net c# Add barcode images to grid cells, .NET PrintDocument objects, or generate them from a Web service. With support for virtually any 2D and linear barcode ... vb.net generate barcode The duration of the prodromal symptoms is variable, from a few minutes to only a few seconds, but it is doubtful that consciousness is ever abolished as abruptly as with a seizure If, during the prodromal period, the person is able to lie down promptly, the attack can be averted before complete loss of consciousness occurs; otherwise, consciousness is lost and the patient falls to the ground The more or less deliberate onset of this type of syncope enables patients to lie down or at least to protect themselves as they slump A hurtful fall is exceptional in the young, though an elderly person may be injured The depth and duration of unconsciousness vary Sometimes the person is not completely oblivious to his surroundings; he may still hear voices or see the blurred outlines of people More often there is a complete lack of awareness and responsiveness The patient lies motionless, with skeletal muscles fully relaxed Sphincteric control is maintained in nearly all cases The pupils are dilated The pulse is thin and slow or cannot be felt; the systolic blood pressure is reduced (to 60 mmHg or less as a rule), and breathing is almost imperceptible It is the brief period of hypotension and cerebral hypoperfusion that is the unifying feature of the syncopes The depressed vital functions, striking facial pallor, and unconsciousness almost simulate death Once the patient is horizontal, the ow of blood to the brain is restored The strength of the pulse soon improves and color begins to return to the face Breathing becomes quicker and deeper Then the eyelids utter and consciousness is quickly regained However, should unconsciousness persist for 15 to 20 s, convulsive movements may occur (convulsive syncope) These movements, which are often mistaken for a seizure, usually take the form of brief, mild, clonic jerks of the limbs and trunk and twitchings of the face or a tonic extension of the trunk and clenching of the jaw Occasionally the extensor rigidity and jerking exor movements are more severe, but very rarely is there urinary incontinence or biting of the tongue, features that characterize a generalized tonicclonic convulsion Gastaut and Fischer-Williams used the oculocardiac inhibitory re ex to study of the pattern of electroencephalographic (EEG) changes in syncope They found that the heightened vagal discharge produced by compression of the eyeballs (oculovagal re ex, a cause of syncope in acute glaucoma) could produce brief periods of cardiac arrest and syncope This effect was produced in 20 of 100 patients who had a history of syncopal attacks These investigators found that after a 7- to 13-s period of cardiac arrest, there was a loss of consciousness, pallor, and muscle relaxation Toward the end of this period, runs of bilaterally synchronous theta and delta waves appeared in the EEG, predominantly in the frontal lobes; in some patients there were one or more myoclonic jerks, synchronous with the slow waves If the cardiac arrest persisted beyond 14 or 15 s, the EEG became at This period of electrical silence lasted for 10 to 20 s and was sometimes accompanied by a generalized tonic spasm with incontinence Following the spasm, heartbeats and large-amplitude delta waves reappeared, and after another 20 to 30 s, the EEG reverted to normal It is noteworthy that rhythmic clonic seizures or epileptiform EEG activity were not observed at any time during the periods of cardiac arrest, syncope, and tonic spasm. Copyright 2005, 2001, 1997, 1993, 1989, 1985, 1981, 1977, by The McGraw-Hill Companies, Inc Click here for terms of use uwp generate barcode Windows Barcode Generator - Abacus Health Products
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