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Biomedical subjects

T L Riley

Publications and source records attributed to T L Riley.

At least 37 records · Page 2Linked to original sources

Managing the epileptic patient.

A review of hospital charts revealed that only 3 (7.5%) of 40 inpatients with a diagnosis of epilepsy had received counseling about the disorder, its treatment, and its social ramifications. Although it is often neglected--as indicated by this small sample--proper and continuing patient education may dispel some of the damaging misconceptions and fears about the disorder and help the epileptic patient lead a full and productive life. Physicians should point out the importance of acceptance of the diagnosis, record keeping by the patient, awareness of precipitating factors, associated socioeconomic problems, and follow-up, stressing the possibility of normal life.

Anticonvulsants↗

Managing the patient with Parkinson's disease.

When patients have a clear understanding of the etiology and pathophysiology of Parkinson's disease, management is easier for the physician and the patient is better able to cope with the disease. Patients also should be made aware of the proper use of antihistamines and anticholinergics that control tremor, as well as their side effects. In addition, life at home can be simplified by using zippers or Velcro closures on clothing, large kitchen and eating utensils, and grab rails.

Activities of Daily Living↗

Managing the patient with peripheral neuropathy.

Peripheral neuropathy may be a minor, even unrecognized, clinical problem, or it may be severe and virtually disabling. As in any chronic disorder, the physician's role is to look for treatable disease and to teach patients about the symptoms and natural history of the dysfunction as well as methods for coping with it. The physician can help patients by explaining how to contend with a damaged peripheral nervous system on a daily basis, even if healing or significant organic relief cannot be achieved.

Alcoholism↗

Recognition of pseudoseizures.

Failure to recognize pseudoseizures is a common problem, affecting both epileptic patients who additionally have pseudoseizures and nonepileptic patients inappropriately called epileptic. Pseudoseizures most commonly mimic generalized tonic-clonic (GTC, "grand mal") seizures or complex-partial seizures. Several patients whose speudoseizures were not recognized are described. Adhering to logical principles of diagnosis for epilepsy, as for other medical problems, and remaining aware of basic beahvioral dynamics should eliminate the confusion between pseudoseizures and epileptic seizures.

Adult↗

Multiple entrapment neuropathies in depression.

A 72-year-old chronically depressed man developed bilateral ulnar, median, and peroneal nerve palsies. Chronic depression predisposes to pressure neuropathies because of prolonged immobility and because of postures with leg crossings, resting arms on elbows, and resting chin on hyperextended wrist.

Aged↗

Hysterical seizures.

Explore the source record for details and available documents.

Diagnosis, Differential↗

Patterns resembling tracé alternant in quiet sleep of an adult.

An 18-year-old man with lymphoma and Listeria meningitis developed a pattern similar to tracé alternant during quiet sleep. This is a pattern normally seen in the neonate during quiet sleep and probably represents diffuse brain disturbance of both cortical and deep gray matter if occurring in the adult, as with other discontinuous or burst-suppression patterns.

Adolescent↗