/ Challenge Pack 3 / Challenge Pack 3.iso / cdgames / ld2 / decomp_e / _mc217.he

< prev

next >

MacOS 8.1

Win98

DOS

view JSON data

view as text

+--------+-------------------------+-------------------------+--------+--------+
|00000000| 15 00 2c 00 bf 02 00 04 | 77 06 91 09 ce 0b 15 0f |..,.....|w.......|
|00000010| 5b 12 08 13 96 14 55 16 | ec 16 0e 19 c0 19 af 1a |[.....U.|........|
|00000020| 25 1b 30 1e 7c 20 d2 21 | ae 22 f1 23 53 54 52 55 |%.0.| .!|.".#STRU|
|00000030| 43 54 55 52 45 20 41 4e | 44 20 43 4f 4d 50 4f 4e |CTURE AN|D COMPON|
|00000040| 45 4e 54 53 20 4f 46 20 | 54 48 45 20 48 45 41 44 |ENTS OF |THE HEAD|
|00000050| 10 54 68 65 20 62 72 61 | 69 6e 20 69 73 20 70 72 |.The bra|in is pr|
|00000060| 6f 74 65 63 74 65 64 20 | 62 79 20 73 65 76 65 72 |otected |by sever|
|00000070| 61 6c 20 6c 61 79 65 72 | 73 20 6f 66 20 74 69 73 |al layer|s of tis|
|00000080| 73 75 65 20 61 6e 64 20 | 62 6f 6e 65 2c 20 74 68 |sue and |bone, th|
|00000090| 65 20 6f 75 74 65 72 6d | 6f 73 74 20 6f 66 20 77 |e outerm|ost of w|
|000000a0| 68 69 63 68 20 69 73 20 | 74 68 65 20 73 63 61 6c |hich is |the scal|
|000000b0| 70 2c 20 77 68 69 63 68 | 20 63 6f 6e 73 69 73 74 |p, which| consist|
|000000c0| 73 20 6f 66 20 73 6b 69 | 6e 20 61 6e 64 20 6d 75 |s of ski|n and mu|
|000000d0| 73 63 6c 65 20 74 68 61 | 74 20 69 73 20 63 6c 6f |scle tha|t is clo|
|000000e0| 73 65 6c 79 20 61 74 74 | 61 63 68 65 64 20 74 6f |sely att|ached to|
|000000f0| 20 74 68 65 20 73 6b 75 | 6c 6c 2e 20 42 65 6e 65 | the sku|ll. Bene|
|00000100| 61 74 68 20 74 68 65 20 | 73 6b 75 6c 6c 20 62 6f |ath the |skull bo|
|00000110| 6e 65 20 69 73 20 61 20 | 72 65 6c 61 74 69 76 65 |ne is a |relative|
|00000120| 6c 79 20 74 68 69 63 6b | 20 6d 65 6d 62 72 61 6e |ly thick| membran|
|00000130| 65 20 63 61 6c 6c 65 64 | 20 74 68 65 20 64 75 72 |e called| the dur|
|00000140| 61 20 6d 61 74 65 72 2e | 20 54 68 65 20 61 72 61 |a mater.| The ara|
|00000150| 63 68 6e 6f 69 64 20 6d | 65 6d 62 72 61 6e 65 20 |chnoid m|embrane |
|00000160| 69 73 20 69 6d 6d 65 64 | 69 61 74 65 6c 79 20 75 |is immed|iately u|
|00000170| 6e 64 65 72 6e 65 61 74 | 68 20 74 68 65 20 64 75 |nderneat|h the du|
|00000180| 72 61 20 61 6e 64 20 61 | 20 73 6d 61 6c 6c 2c 20 |ra and a| small, |
|00000190| 69 6e 74 65 72 76 65 6e | 69 6e 67 20 6f 70 65 6e |interven|ing open|
|000001a0| 20 61 72 65 61 20 63 61 | 6c 6c 65 64 20 74 68 65 | area ca|lled the|
|000001b0| 20 73 75 62 64 75 72 61 | 6c 20 73 70 61 63 65 2e | subdura|l space.|
|000001c0| 20 42 65 6c 6f 77 20 74 | 68 65 20 61 72 61 63 68 | Below t|he arach|
|000001d0| 6e 6f 69 64 20 61 6e 64 | 20 63 6c 6f 73 65 6c 79 |noid and| closely|
|000001e0| 20 61 74 74 61 63 68 65 | 64 20 74 6f 20 74 68 65 | attache|d to the|
|000001f0| 20 62 72 61 69 6e 20 69 | 73 20 61 20 76 65 72 79 | brain i|s a very|
|00000200| 20 74 68 69 6e 20 6d 65 | 6d 62 72 61 6e 65 20 63 | thin me|mbrane c|
|00000210| 61 6c 6c 65 64 20 74 68 | 65 20 70 69 61 20 6d 61 |alled th|e pia ma|
|00000220| 74 65 72 2e 20 42 65 74 | 77 65 65 6e 20 74 68 65 |ter. Bet|ween the|
|00000230| 73 65 20 69 73 20 61 20 | 73 70 61 63 65 20 63 6f |se is a |space co|
|00000240| 6e 74 61 69 6e 69 6e 67 | 20 61 20 73 6d 61 6c 6c |ntaining| a small|
|00000250| 20 71 75 61 6e 74 69 74 | 79 20 6f 66 20 63 65 72 | quantit|y of cer|
|00000260| 65 62 72 6f 73 70 69 6e | 61 6c 20 66 6c 75 69 64 |ebrospin|al fluid|
|00000270| 2c 20 77 68 69 63 68 20 | 70 72 6f 74 65 63 74 73 |, which |protects|
|00000280| 20 74 68 65 20 62 72 61 | 69 6e 20 61 6e 64 20 73 | the bra|in and s|
|00000290| 70 69 6e 61 6c 20 63 6f | 72 64 20 66 72 6f 6d 20 |pinal co|rd from |
|000002a0| 69 6e 6a 75 72 79 20 62 | 79 20 61 63 74 69 6e 67 |injury b|y acting|
|000002b0| 20 61 73 20 61 20 63 75 | 73 68 69 6f 6e 2e 00 50 | as a cu|shion..P|
|000002c0| 41 54 48 57 41 59 53 20 | 4f 46 20 4d 4f 54 4f 52 |ATHWAYS |OF MOTOR|
|000002d0| 20 41 4e 44 20 53 45 4e | 53 4f 52 59 20 4e 45 52 | AND SEN|SORY NER|
|000002e0| 56 45 53 10 54 68 65 20 | 73 74 69 6d 75 6c 75 73 |VES.The |stimulus|
|000002f0| 20 66 6f 72 20 6d 75 73 | 63 6c 65 20 6d 6f 76 65 | for mus|cle move|
|00000300| 6d 65 6e 74 73 20 74 72 | 61 76 65 6c 73 20 66 72 |ments tr|avels fr|
|00000310| 6f 6d 20 74 68 65 20 63 | 65 72 65 62 72 61 6c 20 |om the c|erebral |
|00000320| 63 6f 72 74 65 78 20 74 | 6f 20 74 68 65 20 6d 69 |cortex t|o the mi|
|00000330| 64 62 72 61 69 6e 3b 20 | 69 74 20 74 68 65 6e 20 |dbrain; |it then |
|00000340| 63 72 6f 73 73 65 73 20 | 6f 76 65 72 20 74 6f 20 |crosses |over to |
|00000350| 74 68 65 20 6f 74 68 65 | 72 20 73 69 64 65 20 61 |the othe|r side a|
|00000360| 6e 64 20 74 72 61 76 65 | 6c 73 20 64 6f 77 6e 20 |nd trave|ls down |
|00000370| 74 68 65 20 73 70 69 6e | 61 6c 20 63 6f 72 64 20 |the spin|al cord |
|00000380| 74 6f 20 74 68 65 20 70 | 65 72 69 70 68 65 72 61 |to the p|eriphera|
|00000390| 6c 20 6e 65 72 76 65 20 | 61 6e 64 20 74 6f 20 74 |l nerve |and to t|
|000003a0| 68 65 20 6d 75 73 63 6c | 65 73 2e 20 45 61 63 68 |he muscl|es. Each|
|000003b0| 20 73 69 64 65 20 6f 66 | 20 74 68 65 20 63 65 72 | side of| the cer|
|000003c0| 65 62 72 61 6c 20 63 6f | 72 74 65 78 20 63 61 75 |ebral co|rtex cau|
|000003d0| 73 65 73 20 6d 6f 76 65 | 6d 65 6e 74 73 20 6f 6e |ses move|ments on|
|000003e0| 20 74 68 65 20 6f 70 70 | 6f 73 69 74 65 20 73 69 | the opp|osite si|
|000003f0| 64 65 20 6f 66 20 74 68 | 65 20 62 6f 64 79 2e 00 |de of th|e body..|
|00000400| 52 45 46 4c 45 58 45 53 | 10 52 65 66 6c 65 78 65 |REFLEXES|.Reflexe|
|00000410| 73 20 61 72 65 20 73 70 | 6f 6e 74 61 6e 65 6f 75 |s are sp|ontaneou|
|00000420| 73 20 72 65 61 63 74 69 | 6f 6e 73 20 74 6f 20 73 |s reacti|ons to s|
|00000430| 75 64 64 65 6e 20 73 74 | 69 6d 75 6c 69 2e 20 49 |udden st|imuli. I|
|00000440| 6e 20 74 68 65 20 63 61 | 73 65 20 6f 66 20 6b 6e |n the ca|se of kn|
|00000450| 65 65 2c 20 62 69 63 65 | 70 20 61 6e 64 20 74 72 |ee, bice|p and tr|
|00000460| 69 63 65 70 20 6d 75 73 | 63 6c 65 20 6a 65 72 6b |icep mus|cle jerk|
|00000470| 73 2c 20 61 20 73 75 64 | 64 65 6e 20 73 74 72 65 |s, a sud|den stre|
|00000480| 74 63 68 20 69 6e 20 74 | 68 65 20 6d 75 73 63 6c |tch in t|he muscl|
|00000490| 65 73 20 63 61 75 73 65 | 73 20 61 20 73 74 69 6d |es cause|s a stim|
|000004a0| 75 6c 75 73 20 74 6f 20 | 74 72 61 76 65 6c 20 61 |ulus to |travel a|
|000004b0| 6c 6f 6e 67 20 73 70 65 | 63 69 61 6c 20 6e 65 72 |long spe|cial ner|
|000004c0| 76 65 20 66 69 62 65 72 | 73 20 28 70 72 6f 70 72 |ve fiber|s (propr|
|000004d0| 69 6f 63 65 70 74 6f 72 | 20 6e 65 72 76 65 73 29 |ioceptor| nerves)|
|000004e0| 20 74 6f 20 74 68 65 20 | 73 70 69 6e 61 6c 20 63 | to the |spinal c|
|000004f0| 6f 72 64 2e 20 54 68 65 | 20 73 74 69 6d 75 6c 75 |ord. The| stimulu|
|00000500| 73 20 74 68 65 6e 20 74 | 72 61 76 65 6c 73 20 62 |s then t|ravels b|
|00000510| 61 63 6b 20 64 6f 77 6e | 20 61 6e 20 61 70 70 72 |ack down| an appr|
|00000520| 6f 70 72 69 61 74 65 20 | 6d 6f 74 6f 72 20 6e 65 |opriate |motor ne|
|00000530| 72 76 65 20 66 69 62 65 | 72 20 61 6e 64 20 63 61 |rve fibe|r and ca|
|00000540| 75 73 65 73 20 74 68 65 | 20 6d 75 73 63 6c 65 20 |uses the| muscle |
|00000550| 74 6f 20 6a 65 72 6b 2e | 20 4e 6f 74 65 20 74 68 |to jerk.| Note th|
|00000560| 61 74 20 74 68 65 20 73 | 74 69 6d 75 6c 75 73 20 |at the s|timulus |
|00000570| 64 6f 65 73 20 6e 6f 74 | 20 74 72 61 76 65 6c 20 |does not| travel |
|00000580| 74 6f 20 74 68 65 20 62 | 72 61 69 6e 20 66 69 72 |to the b|rain fir|
|00000590| 73 74 2e 20 54 68 69 73 | 20 69 73 20 74 6f 20 69 |st. This| is to i|
|000005a0| 6e 63 72 65 61 73 65 20 | 72 65 61 63 74 69 6f 6e |ncrease |reaction|
|000005b0| 20 74 69 6d 65 2e 10 52 | 65 66 6c 65 78 65 73 20 | time..R|eflexes |
|000005c0| 61 72 65 20 65 78 61 67 | 67 65 72 61 74 65 64 20 |are exag|gerated |
|000005d0| 69 66 20 74 68 65 72 65 | 20 69 73 20 61 20 6c 65 |if there| is a le|
|000005e0| 73 69 6f 6e 20 6f 72 20 | 69 6e 6a 75 72 79 20 69 |sion or |injury i|
|000005f0| 6e 20 74 68 65 20 62 72 | 61 69 6e 20 6f 72 20 73 |n the br|ain or s|
|00000600| 70 69 6e 61 6c 20 63 6f | 72 64 2e 20 52 65 66 6c |pinal co|rd. Refl|
|00000610| 65 78 65 73 20 61 72 65 | 20 61 62 73 65 6e 74 20 |exes are| absent |
|00000620| 69 66 20 74 68 65 72 65 | 20 69 73 20 61 20 6c 65 |if there| is a le|
|00000630| 73 69 6f 6e 20 6f 72 20 | 69 6e 6a 75 72 79 20 74 |sion or |injury t|
|00000640| 6f 20 74 68 65 20 6e 65 | 72 76 65 73 20 6f 72 20 |o the ne|rves or |
|00000650| 6d 75 73 63 6c 65 73 20 | 70 65 72 69 70 68 65 72 |muscles |peripher|
|00000660| 61 6c 20 74 6f 20 74 68 | 65 20 73 70 69 6e 61 6c |al to th|e spinal|
|00000670| 20 63 6f 72 64 2e 00 4e | 45 55 52 4f 4c 4f 47 49 | cord..N|EUROLOGI|
|00000680| 43 41 4c 20 45 58 41 4d | 49 4e 41 54 49 4f 4e 20 |CAL EXAM|INATION |
|00000690| 2d 20 54 48 45 20 48 45 | 41 44 10 4e 65 75 72 6f |- THE HE|AD.Neuro|
|000006a0| 6c 6f 67 69 63 61 6c 20 | 65 78 61 6d 69 6e 61 74 |logical |examinat|
|000006b0| 69 6f 6e 20 69 6e 76 6f | 6c 76 65 73 20 74 65 73 |ion invo|lves tes|
|000006c0| 74 69 6e 67 20 74 68 65 | 20 6d 75 73 63 6c 65 20 |ting the| muscle |
|000006d0| 73 74 72 65 6e 67 74 68 | 2c 20 62 6f 64 79 20 73 |strength|, body s|
|000006e0| 65 6e 73 61 74 69 6f 6e | 73 20 61 6e 64 20 72 65 |ensation|s and re|
|000006f0| 66 6c 65 78 65 73 2e 20 | 54 68 65 20 66 6f 6c 6c |flexes. |The foll|
|00000700| 6f 77 69 6e 67 20 74 65 | 73 74 73 20 61 72 65 20 |owing te|sts are |
|00000710| 70 65 72 66 6f 72 6d 65 | 64 20 6f 6e 20 74 68 65 |performe|d on the|
|00000720| 20 70 61 74 69 65 6e 74 | 27 73 20 68 65 61 64 3a | patient|'s head:|
|00000730| 10 31 29 20 53 45 4e 53 | 41 54 49 4f 4e 2e 20 53 |.1) SENS|ATION. S|
|00000740| 65 6e 73 61 74 69 6f 6e | 20 6f 6e 20 6f 6e 65 20 |ensation| on one |
|00000750| 73 69 64 65 20 6f 66 20 | 74 68 65 20 66 61 63 65 |side of |the face|
|00000760| 20 69 73 20 6c 6f 73 74 | 20 69 66 20 74 68 65 72 | is lost| if ther|
|00000770| 65 20 69 73 20 61 20 6c | 65 73 69 6f 6e 20 6f 72 |e is a l|esion or|
|00000780| 20 69 6e 6a 75 72 79 20 | 74 6f 20 74 68 65 20 6f | injury |to the o|
|00000790| 70 70 6f 73 69 74 65 20 | 73 69 64 65 20 6f 66 20 |pposite |side of |
|000007a0| 74 68 65 20 62 72 61 69 | 6e 2e 20 41 20 70 69 6e |the brai|n. A pin|
|000007b0| 20 69 73 20 75 73 65 64 | 20 74 6f 20 74 65 73 74 | is used| to test|
|000007c0| 20 73 65 6e 73 61 74 69 | 6f 6e 2e 10 32 29 20 53 | sensati|on..2) S|
|000007d0| 50 45 45 43 48 2e 20 54 | 68 65 20 73 70 65 65 63 |PEECH. T|he speec|
|000007e0| 68 20 63 65 6e 74 65 72 | 20 69 73 20 6c 6f 63 61 |h center| is loca|
|000007f0| 74 65 64 20 6f 6e 20 74 | 68 65 20 6c 65 66 74 20 |ted on t|he left |
|00000800| 73 69 64 65 20 6f 66 20 | 74 68 65 20 62 72 61 69 |side of |the brai|
|00000810| 6e 2e 20 41 20 6c 65 73 | 69 6f 6e 20 6f 72 20 69 |n. A les|ion or i|
|00000820| 6e 6a 75 72 79 20 74 6f | 20 74 68 61 74 20 73 69 |njury to| that si|
|00000830| 64 65 20 6d 61 79 20 63 | 61 75 73 65 20 73 70 65 |de may c|ause spe|
|00000840| 65 63 68 20 69 6d 70 61 | 69 72 6d 65 6e 74 2e 20 |ech impa|irment. |
|00000850| 41 73 6b 20 74 68 65 20 | 70 61 74 69 65 6e 74 20 |Ask the |patient |
|00000860| 74 6f 20 73 70 65 61 6b | 20 74 68 65 20 77 6f 72 |to speak| the wor|
|00000870| 64 73 20 70 72 69 6e 74 | 65 64 20 6f 6e 20 74 68 |ds print|ed on th|
|00000880| 65 20 63 61 72 64 2e 10 | 33 29 20 45 59 45 20 4d |e card..|3) EYE M|
|00000890| 4f 56 45 4d 45 4e 54 2e | 20 4d 6f 76 65 6d 65 6e |OVEMENT.| Movemen|
|000008a0| 74 20 6f 66 20 74 68 65 | 20 65 79 65 73 20 69 73 |t of the| eyes is|
|000008b0| 20 74 65 73 74 65 64 20 | 74 6f 20 64 65 74 65 72 | tested |to deter|
|000008c0| 6d 69 6e 65 64 20 77 68 | 65 74 68 65 72 20 74 68 |mined wh|ether th|
|000008d0| 65 20 65 79 65 20 6d 75 | 73 63 6c 65 73 20 61 72 |e eye mu|scles ar|
|000008e0| 65 20 70 61 72 61 6c 79 | 7a 65 64 2c 20 69 6e 64 |e paraly|zed, ind|
|000008f0| 69 63 61 74 69 6e 67 20 | 61 6e 20 69 6e 6a 75 72 |icating |an injur|
|00000900| 79 20 6f 72 20 6c 65 73 | 69 6f 6e 20 74 6f 20 74 |y or les|ion to t|
|00000910| 68 65 20 6f 70 70 6f 73 | 69 74 65 20 73 69 64 65 |he oppos|ite side|
|00000920| 20 6f 66 20 74 68 65 20 | 62 72 61 69 6e 2e 20 4d | of the |brain. M|
|00000930| 6f 76 65 6d 65 6e 74 20 | 69 73 20 74 65 73 74 65 |ovement |is teste|
|00000940| 64 20 62 79 20 64 72 61 | 67 67 69 6e 67 20 61 6e |d by dra|gging an|
|00000950| 20 6f 62 6a 65 63 74 20 | 69 6e 20 66 72 6f 6e 74 | object |in front|
|00000960| 20 6f 66 20 74 68 65 20 | 70 61 74 69 65 6e 74 73 | of the |patients|
|00000970| 20 65 79 65 73 20 61 6e | 64 20 77 61 74 63 68 69 | eyes an|d watchi|
|00000980| 6e 67 20 66 6f 72 20 6d | 6f 76 65 6d 65 6e 74 2e |ng for m|ovement.|
|00000990| 00 4e 45 55 52 4f 4c 4f | 47 49 43 41 4c 20 45 58 |.NEUROLO|GICAL EX|
|000009a0| 41 4d 49 4e 41 54 49 4f | 4e 20 2d 20 54 48 45 20 |AMINATIO|N - THE |
|000009b0| 48 45 41 44 20 28 63 6f | 6e 74 69 6e 75 65 64 29 |HEAD (co|ntinued)|
|000009c0| 10 34 29 20 50 55 50 49 | 4c 20 52 45 41 43 54 49 |.4) PUPI|L REACTI|
|000009d0| 4f 4e 2e 20 54 68 65 20 | 73 69 7a 65 20 6f 66 20 |ON. The |size of |
|000009e0| 74 68 65 20 70 75 70 69 | 6c 73 20 69 6e 20 74 68 |the pupi|ls in th|
|000009f0| 65 20 70 61 74 69 65 6e | 74 27 73 20 65 79 65 73 |e patien|t's eyes|
|00000a00| 20 70 72 6f 76 69 64 65 | 73 20 61 20 67 72 65 61 | provide|s a grea|
|00000a10| 74 20 64 65 61 6c 20 6f | 66 20 76 61 6c 75 61 62 |t deal o|f valuab|
|00000a20| 6c 65 20 69 6e 66 6f 72 | 6d 61 74 69 6f 6e 2e 20 |le infor|mation. |
|00000a30| 44 69 6c 61 74 69 6f 6e | 20 6f 66 20 74 68 65 20 |Dilation| of the |
|00000a40| 70 75 70 69 6c 20 63 61 | 6e 20 6f 63 63 75 72 20 |pupil ca|n occur |
|00000a50| 77 68 65 6e 20 74 68 65 | 72 65 20 69 73 20 61 6e |when the|re is an|
|00000a60| 20 69 6e 6a 75 72 79 20 | 6f 6e 20 74 68 65 20 73 | injury |on the s|
|00000a70| 61 6d 65 20 73 69 64 65 | 20 6f 66 20 74 68 65 20 |ame side| of the |
|00000a80| 62 72 61 69 6e 2e 20 41 | 20 63 6f 63 61 69 6e 65 |brain. A| cocaine|
|00000a90| 20 61 64 64 69 63 74 20 | 77 69 6c 6c 20 68 61 76 | addict |will hav|
|00000aa0| 65 20 62 6f 74 68 20 70 | 75 70 69 6c 73 20 64 69 |e both p|upils di|
|00000ab0| 6c 61 74 65 64 20 77 68 | 69 6c 65 20 61 20 6d 6f |lated wh|ile a mo|
|00000ac0| 72 70 68 69 6e 65 20 61 | 64 64 69 63 74 20 77 69 |rphine a|ddict wi|
|00000ad0| 6c 6c 20 68 61 76 65 20 | 62 6f 74 68 20 70 75 70 |ll have |both pup|
|00000ae0| 69 6c 73 20 63 6f 6e 73 | 74 72 69 63 74 65 64 2e |ils cons|tricted.|
|00000af0| 20 54 68 65 20 70 75 70 | 69 6c 20 72 65 61 63 74 | The pup|il react|
|00000b00| 69 6f 6e 20 69 73 20 74 | 65 73 74 65 64 20 62 79 |ion is t|ested by|
|00000b10| 20 73 68 69 6e 69 6e 67 | 20 61 20 6c 69 67 68 74 | shining| a light|
|00000b20| 20 69 6e 20 74 68 65 20 | 70 61 74 69 65 6e 74 27 | in the |patient'|
|00000b30| 73 20 65 79 65 73 2e 20 | 49 66 20 74 68 65 20 72 |s eyes. |If the r|
|00000b40| 65 66 6c 65 78 65 73 20 | 61 72 65 20 69 6e 74 61 |eflexes |are inta|
|00000b50| 63 74 2c 20 62 6f 74 68 | 20 77 69 6c 6c 20 63 6f |ct, both| will co|
|00000b60| 6e 74 72 61 63 74 2e 20 | 49 66 20 74 68 65 72 65 |ntract. |If there|
|00000b70| 20 69 73 20 61 6e 20 69 | 6e 6a 75 72 79 20 74 6f | is an i|njury to|
|00000b80| 20 6f 6e 65 20 73 69 64 | 65 20 6f 66 20 74 68 65 | one sid|e of the|
|00000b90| 20 62 72 61 69 6e 2c 20 | 74 68 65 20 6f 70 70 6f | brain, |the oppo|
|00000ba0| 73 69 74 65 20 73 69 64 | 65 27 73 20 70 75 70 69 |site sid|e's pupi|
|00000bb0| 6c 20 72 65 61 63 74 69 | 6f 6e 20 77 69 6c 6c 20 |l reacti|on will |
|00000bc0| 62 65 20 70 61 72 61 6c | 79 7a 65 64 2e 00 4e 45 |be paral|yzed..NE|
|00000bd0| 55 52 4f 4c 4f 47 49 43 | 41 4c 20 45 58 41 4d 49 |UROLOGIC|AL EXAMI|
|00000be0| 4e 41 54 49 4f 4e 20 2d | 20 54 48 45 20 41 52 4d |NATION -| THE ARM|
|00000bf0| 53 10 54 68 65 20 66 6f | 6c 6c 6f 77 69 6e 67 20 |S.The fo|llowing |
|00000c00| 74 65 73 74 73 20 63 61 | 6e 20 62 65 20 70 65 72 |tests ca|n be per|
|00000c10| 66 6f 72 6d 65 64 20 6f | 6e 20 74 68 65 20 70 61 |formed o|n the pa|
|00000c20| 74 69 65 6e 74 27 73 20 | 61 72 6d 73 3a 10 31 29 |tient's |arms:.1)|
|00000c30| 20 53 54 52 45 4e 47 54 | 48 2e 20 54 65 73 74 20 | STRENGT|H. Test |
|00000c40| 74 68 65 20 73 74 72 65 | 6e 67 74 68 20 6f 66 20 |the stre|ngth of |
|00000c50| 74 68 65 20 70 61 74 69 | 65 6e 74 27 73 20 6d 75 |the pati|ent's mu|
|00000c60| 73 63 6c 65 73 20 62 79 | 20 6c 69 66 74 69 6e 67 |scles by| lifting|
|00000c70| 20 74 68 65 20 61 72 6d | 20 77 69 74 68 20 79 6f | the arm| with yo|
|00000c80| 75 72 20 68 61 6e 64 2c | 20 74 68 65 6e 20 6c 65 |ur hand,| then le|
|00000c90| 74 74 69 6e 67 20 67 6f | 2e 20 49 66 20 74 68 65 |tting go|. If the|
|00000ca0| 20 6d 75 73 63 6c 65 73 | 20 61 72 65 20 66 6c 61 | muscles| are fla|
|00000cb0| 63 63 69 64 2c 20 74 68 | 65 20 61 72 6d 20 77 69 |ccid, th|e arm wi|
|00000cc0| 6c 6c 20 64 72 6f 70 20 | 72 61 70 69 64 6c 79 2e |ll drop |rapidly.|
|00000cd0| 20 57 65 61 6b 6e 65 73 | 73 20 63 61 6e 20 62 65 | Weaknes|s can be|
|00000ce0| 20 63 61 75 73 65 64 20 | 62 79 20 61 20 6c 65 73 | caused |by a les|
|00000cf0| 69 6f 6e 20 6f 72 20 69 | 6e 6a 75 72 79 20 6f 6e |ion or i|njury on|
|00000d00| 20 74 68 65 20 6f 70 70 | 6f 73 69 74 65 20 73 69 | the opp|osite si|
|00000d10| 64 65 20 6f 66 20 74 68 | 65 20 62 72 61 69 6e 20 |de of th|e brain |
|00000d20| 6f 72 20 6f 6e 20 61 20 | 70 65 72 69 70 68 65 72 |or on a |peripher|
|00000d30| 61 6c 20 6e 65 72 76 65 | 20 6c 6f 63 61 74 65 64 |al nerve| located|
|00000d40| 20 6f 6e 20 74 68 65 20 | 53 41 4d 45 20 73 69 64 | on the |SAME sid|
|00000d50| 65 2e 10 32 29 20 53 45 | 4e 53 41 54 49 4f 4e 2e |e..2) SE|NSATION.|
|00000d60| 20 41 67 61 69 6e 2c 20 | 74 68 65 20 70 69 6e 20 | Again, |the pin |
|00000d70| 69 73 20 75 73 65 64 20 | 74 6f 20 63 68 65 63 6b |is used |to check|
|00000d80| 20 66 6f 72 20 73 65 6e | 73 6f 72 79 20 6c 6f 73 | for sen|sory los|
|00000d90| 73 2e 20 4c 6f 73 73 20 | 6f 66 20 73 65 6e 73 61 |s. Loss |of sensa|
|00000da0| 74 69 6f 6e 20 69 6e 64 | 69 63 61 74 65 73 20 65 |tion ind|icates e|
|00000db0| 69 74 68 65 72 20 61 20 | 6c 65 73 69 6f 6e 20 6f |ither a |lesion o|
|00000dc0| 72 20 69 6e 6a 75 72 79 | 20 6f 6e 20 74 68 65 20 |r injury| on the |
|00000dd0| 6f 70 70 6f 73 69 74 65 | 20 73 69 64 65 20 6f 66 |opposite| side of|
|00000de0| 20 74 68 65 20 62 72 61 | 69 6e 20 6f 72 20 6f 6e | the bra|in or on|
|00000df0| 20 61 20 70 65 72 69 70 | 68 65 72 61 6c 20 6e 65 | a perip|heral ne|
|00000e00| 72 76 65 20 6c 6f 63 61 | 74 65 64 20 6f 6e 20 74 |rve loca|ted on t|
|00000e10| 68 65 20 73 61 6d 65 20 | 73 69 64 65 2e 10 33 29 |he same |side..3)|
|00000e20| 20 52 45 46 4c 45 58 2e | 20 41 72 6d 20 72 65 66 | REFLEX.| Arm ref|
|00000e30| 6c 65 78 65 73 20 61 72 | 65 20 74 65 73 74 65 64 |lexes ar|e tested|
|00000e40| 20 62 79 20 68 69 74 74 | 69 6e 67 20 74 68 65 20 | by hitt|ing the |
|00000e50| 70 61 74 69 65 6e 74 27 | 73 20 65 6c 62 6f 77 20 |patient'|s elbow |
|00000e60| 77 69 74 68 20 74 68 65 | 20 72 75 62 62 65 72 20 |with the| rubber |
|00000e70| 68 61 6d 6d 65 72 2e 20 | 52 65 66 6c 65 78 65 73 |hammer. |Reflexes|
|00000e80| 20 61 72 65 20 65 78 61 | 67 67 65 72 61 74 65 64 | are exa|ggerated|
|00000e90| 20 69 66 20 74 68 65 72 | 65 20 69 73 20 61 20 6c | if ther|e is a l|
|00000ea0| 65 73 69 6f 6e 20 6f 72 | 20 69 6e 6a 75 72 79 20 |esion or| injury |
|00000eb0| 74 6f 20 74 68 65 20 6f | 70 70 6f 73 69 74 65 20 |to the o|pposite |
|00000ec0| 73 69 64 65 20 6f 66 20 | 74 68 65 20 62 72 61 69 |side of |the brai|
|00000ed0| 6e 2e 20 52 65 66 6c 65 | 78 65 73 20 61 72 65 20 |n. Refle|xes are |
|00000ee0| 61 62 73 65 6e 74 20 69 | 66 20 74 68 65 72 65 20 |absent i|f there |
|00000ef0| 69 73 20 73 6f 6d 65 20 | 69 6e 6a 75 72 79 20 74 |is some |injury t|
|00000f00| 6f 20 70 65 72 69 70 68 | 65 72 61 6c 20 6e 65 72 |o periph|eral ner|
|00000f10| 76 65 73 2e 00 4e 45 55 | 52 4f 4c 4f 47 49 43 41 |ves..NEU|ROLOGICA|
|00000f20| 4c 20 45 58 41 4d 49 4e | 41 54 49 4f 4e 20 2d 20 |L EXAMIN|ATION - |
|00000f30| 54 48 45 20 4c 45 47 53 | 10 54 68 65 20 66 6f 6c |THE LEGS|.The fol|
|00000f40| 6c 6f 77 69 6e 67 20 74 | 65 73 74 73 20 63 61 6e |lowing t|ests can|
|00000f50| 20 62 65 20 70 65 72 66 | 6f 72 6d 65 64 20 6f 6e | be perf|ormed on|
|00000f60| 20 74 68 65 20 70 61 74 | 69 65 6e 74 27 73 20 6c | the pat|ient's l|
|00000f70| 65 67 73 3a 10 31 29 20 | 53 54 52 45 4e 47 54 48 |egs:.1) |STRENGTH|
|00000f80| 2e 20 54 65 73 74 20 74 | 68 65 20 73 74 72 65 6e |. Test t|he stren|
|00000f90| 67 74 68 20 6f 66 20 74 | 68 65 20 70 61 74 69 65 |gth of t|he patie|
|00000fa0| 6e 74 27 73 20 6d 75 73 | 63 6c 65 73 20 62 79 20 |nt's mus|cles by |
|00000fb0| 6c 69 66 74 69 6e 67 20 | 74 68 65 20 6c 65 67 20 |lifting |the leg |
|00000fc0| 77 69 74 68 20 79 6f 75 | 72 20 68 61 6e 64 2c 20 |with you|r hand, |
|00000fd0| 74 68 65 6e 20 6c 65 74 | 74 69 6e 67 20 67 6f 2e |then let|ting go.|
|00000fe0| 20 49 66 20 74 68 65 20 | 6d 75 73 63 6c 65 73 20 | If the |muscles |
|00000ff0| 61 72 65 20 66 6c 61 63 | 63 69 64 2c 20 74 68 65 |are flac|cid, the|
|00001000| 20 6c 65 67 20 77 69 6c | 6c 20 64 72 6f 70 20 72 | leg wil|l drop r|
|00001010| 61 70 69 64 6c 79 2e 20 | 57 65 61 6b 6e 65 73 73 |apidly. |Weakness|
|00001020| 20 63 61 6e 20 62 65 20 | 63 61 75 73 65 64 20 62 | can be |caused b|
|00001030| 79 20 61 20 6c 65 73 69 | 6f 6e 20 6f 72 20 69 6e |y a lesi|on or in|
|00001040| 6a 75 72 79 20 6f 6e 20 | 74 68 65 20 6f 70 70 6f |jury on |the oppo|
|00001050| 73 69 74 65 20 73 69 64 | 65 20 6f 66 20 74 68 65 |site sid|e of the|
|00001060| 20 62 72 61 69 6e 20 6f | 72 20 6f 6e 20 61 20 70 | brain o|r on a p|
|00001070| 65 72 69 70 68 65 72 61 | 6c 20 6e 65 72 76 65 20 |eriphera|l nerve |
|00001080| 6c 6f 63 61 74 65 64 20 | 6f 6e 20 74 68 65 20 53 |located |on the S|
|00001090| 41 4d 45 20 73 69 64 65 | 2e 10 32 29 20 53 45 4e |AME side|..2) SEN|
|000010a0| 53 41 54 49 4f 4e 2e 20 | 41 67 61 69 6e 2c 20 74 |SATION. |Again, t|
|000010b0| 68 65 20 70 69 6e 20 69 | 73 20 75 73 65 64 20 74 |he pin i|s used t|
|000010c0| 6f 20 63 68 65 63 6b 20 | 66 6f 72 20 73 65 6e 73 |o check |for sens|
|000010d0| 6f 72 79 20 6c 6f 73 73 | 2e 20 4c 6f 73 73 20 6f |ory loss|. Loss o|
|000010e0| 66 20 73 65 6e 73 61 74 | 69 6f 6e 20 69 6e 64 69 |f sensat|ion indi|
|000010f0| 63 61 74 65 73 20 65 69 | 74 68 65 72 20 61 20 6c |cates ei|ther a l|
|00001100| 65 73 69 6f 6e 20 6f 72 | 20 69 6e 6a 75 72 79 20 |esion or| injury |
|00001110| 6f 6e 20 74 68 65 20 6f | 70 70 6f 73 69 74 65 20 |on the o|pposite |
|00001120| 73 69 64 65 20 6f 66 20 | 74 68 65 20 62 72 61 69 |side of |the brai|
|00001130| 6e 20 6f 72 20 6f 6e 20 | 61 20 70 65 72 69 70 68 |n or on |a periph|
|00001140| 65 72 61 6c 20 6e 65 72 | 76 65 20 6c 6f 63 61 74 |eral ner|ve locat|
|00001150| 65 64 20 6f 6e 20 74 68 | 65 20 73 61 6d 65 20 73 |ed on th|e same s|
|00001160| 69 64 65 2e 10 33 29 20 | 52 45 46 4c 45 58 2e 20 |ide..3) |REFLEX. |
|00001170| 4c 65 67 20 72 65 66 6c | 65 78 65 73 20 61 72 65 |Leg refl|exes are|
|00001180| 20 74 65 73 74 65 64 20 | 62 79 20 68 69 74 74 69 | tested |by hitti|
|00001190| 6e 67 20 74 68 65 20 70 | 61 74 69 65 6e 74 27 73 |ng the p|atient's|
|000011a0| 20 6b 6e 65 65 20 77 69 | 74 68 20 74 68 65 20 72 | knee wi|th the r|
|000011b0| 75 62 62 65 72 20 68 61 | 6d 6d 65 72 2e 20 52 65 |ubber ha|mmer. Re|
|000011c0| 66 6c 65 78 65 73 20 61 | 72 65 20 65 78 61 67 67 |flexes a|re exagg|
|000011d0| 65 72 61 74 65 64 20 69 | 66 20 74 68 65 72 65 20 |erated i|f there |
|000011e0| 69 73 20 61 20 6c 65 73 | 69 6f 6e 20 6f 72 20 69 |is a les|ion or i|
|000011f0| 6e 6a 75 72 79 20 74 6f | 20 74 68 65 20 6f 70 70 |njury to| the opp|
|00001200| 6f 73 69 74 65 20 73 69 | 64 65 20 6f 66 20 74 68 |osite si|de of th|
|00001210| 65 20 62 72 61 69 6e 2e | 20 52 65 66 6c 65 78 65 |e brain.| Reflexe|
|00001220| 73 20 61 72 65 20 61 62 | 73 65 6e 74 20 69 66 20 |s are ab|sent if |
|00001230| 74 68 65 72 65 20 69 73 | 20 73 6f 6d 65 20 69 6e |there is| some in|
|00001240| 6a 75 72 79 20 74 6f 20 | 70 65 72 69 70 68 65 72 |jury to |peripher|
|00001250| 61 6c 20 6e 65 72 76 65 | 73 2e 00 41 4e 47 49 4f |al nerve|s..ANGIO|
|00001260| 47 52 41 50 48 59 10 41 | 6e 67 69 6f 67 72 61 70 |GRAPHY.A|ngiograp|
|00001270| 68 79 20 69 73 20 61 20 | 70 72 6f 63 65 64 75 72 |hy is a |procedur|
|00001280| 65 20 69 6e 20 77 68 69 | 63 68 20 61 20 63 6f 6e |e in whi|ch a con|
|00001290| 74 72 61 73 74 20 64 79 | 65 20 69 73 20 69 6e 6a |trast dy|e is inj|
|000012a0| 65 63 74 65 64 20 69 6e | 74 6f 20 74 68 65 20 70 |ected in|to the p|
|000012b0| 61 74 69 65 6e 74 27 73 | 20 62 6c 6f 6f 64 73 74 |atient's| bloodst|
|000012c0| 72 65 61 6d 20 61 6e 64 | 20 78 2d 72 61 79 73 20 |ream and| x-rays |
|000012d0| 61 72 65 20 74 61 6b 65 | 6e 20 74 6f 20 61 73 73 |are take|n to ass|
|000012e0| 65 73 73 20 74 68 65 20 | 69 6e 74 65 67 72 69 74 |ess the |integrit|
|000012f0| 79 20 6f 66 20 74 68 65 | 20 62 6c 6f 6f 64 20 76 |y of the| blood v|
|00001300| 65 73 73 65 6c 73 2e 00 | 43 41 54 20 28 43 6f 6d |essels..|CAT (Com|
|00001310| 70 75 74 65 72 20 41 73 | 73 69 73 74 65 64 20 54 |puter As|sisted T|
|00001320| 6f 6d 6f 67 72 61 70 68 | 79 29 20 53 43 41 4e 10 |omograph|y) SCAN.|
|00001330| 41 20 43 41 54 20 73 63 | 61 6e 20 69 73 20 61 20 |A CAT sc|an is a |
|00001340| 73 70 65 63 69 61 6c 69 | 7a 65 64 20 78 2d 72 61 |speciali|zed x-ra|
|00001350| 79 20 74 65 63 68 6e 69 | 71 75 65 20 69 6e 20 77 |y techni|que in w|
|00001360| 68 69 63 68 20 70 61 72 | 74 73 20 6f 66 20 74 68 |hich par|ts of th|
|00001370| 65 20 70 61 74 69 65 6e | 74 27 73 20 62 6f 64 79 |e patien|t's body|
|00001380| 20 61 72 65 20 78 2d 72 | 61 79 65 64 20 69 6e 20 | are x-r|ayed in |
|00001390| 63 72 6f 73 73 2d 73 65 | 63 74 69 6f 6e 73 2e 20 |cross-se|ctions. |
|000013a0| 41 20 63 6f 6d 70 75 74 | 65 72 20 74 68 65 6e 20 |A comput|er then |
|000013b0| 63 61 6c 63 75 6c 61 74 | 65 73 20 74 68 65 20 64 |calculat|es the d|
|000013c0| 65 6e 73 69 74 79 20 6f | 66 20 74 68 65 20 74 69 |ensity o|f the ti|
|000013d0| 73 73 75 65 73 20 61 6e | 64 20 6f 72 67 61 6e 73 |ssues an|d organs|
|000013e0| 20 69 6e 20 74 68 65 20 | 62 6f 64 79 20 61 6e 64 | in the |body and|
|000013f0| 20 64 69 73 70 6c 61 79 | 73 20 74 68 65 20 69 6d | display|s the im|
|00001400| 61 67 65 2e 10 42 65 63 | 61 75 73 65 20 69 74 20 |age..Bec|ause it |
|00001410| 75 73 65 73 20 69 6f 64 | 69 6e 65 20 74 6f 20 63 |uses iod|ine to c|
|00001420| 6f 6e 74 72 61 73 74 20 | 76 61 72 69 6f 75 73 20 |ontrast |various |
|00001430| 74 69 73 73 75 65 73 2c | 20 70 61 74 69 65 6e 74 |tissues,| patient|
|00001440| 73 20 61 6c 6c 65 72 67 | 69 63 20 74 6f 20 69 6f |s allerg|ic to io|
|00001450| 64 69 6e 65 20 73 68 6f | 75 6c 64 20 6e 6f 74 20 |dine sho|uld not |
|00001460| 62 65 20 73 75 62 6a 65 | 63 74 65 64 20 74 6f 20 |be subje|cted to |
|00001470| 43 41 54 20 73 63 61 6e | 73 20 28 75 73 65 20 74 |CAT scan|s (use t|
|00001480| 68 65 20 4d 52 49 20 73 | 63 61 6e 20 69 6e 73 74 |he MRI s|can inst|
|00001490| 65 61 64 2e 29 00 4d 41 | 47 4e 45 54 49 43 20 52 |ead.).MA|GNETIC R|
|000014a0| 45 53 4f 4e 41 4e 43 45 | 20 49 4d 41 47 49 4e 47 |ESONANCE| IMAGING|
|000014b0| 20 28 4d 52 49 29 10 4d | 52 49 20 73 63 61 6e 73 | (MRI).M|RI scans|
|000014c0| 20 61 72 65 20 67 65 6e | 65 72 61 74 65 64 20 62 | are gen|erated b|
|000014d0| 79 20 70 6c 61 63 69 6e | 67 20 74 68 65 20 70 61 |y placin|g the pa|
|000014e0| 74 69 65 6e 74 20 69 6e | 20 61 20 73 74 72 6f 6e |tient in| a stron|
|000014f0| 67 20 6d 61 67 6e 65 74 | 69 63 20 66 69 65 6c 64 |g magnet|ic field|
|00001500| 20 61 6e 64 20 73 75 62 | 6a 65 63 74 69 6e 67 20 | and sub|jecting |
|00001510| 74 68 65 6d 20 74 6f 20 | 73 68 6f 72 74 20 72 61 |them to |short ra|
|00001520| 64 69 6f 66 72 65 71 75 | 65 6e 63 79 20 70 75 6c |diofrequ|ency pul|
|00001530| 73 65 73 2e 20 54 68 65 | 20 61 74 6f 6d 73 20 63 |ses. The| atoms c|
|00001540| 6f 6d 70 72 69 73 69 6e | 67 20 74 68 65 20 70 61 |omprisin|g the pa|
|00001550| 74 69 65 6e 74 27 73 20 | 62 6f 64 79 20 72 65 73 |tient's |body res|
|00001560| 70 6f 6e 64 20 62 79 20 | 64 69 73 63 68 61 72 67 |pond by |discharg|
|00001570| 69 6e 67 20 62 75 72 73 | 74 73 20 6f 66 20 72 61 |ing burs|ts of ra|
|00001580| 64 69 6f 20 77 61 76 65 | 73 20 77 68 69 63 68 20 |dio wave|s which |
|00001590| 61 72 65 20 74 68 65 6e | 20 69 6e 74 65 72 70 72 |are then| interpr|
|000015a0| 65 74 65 64 20 62 79 20 | 61 20 63 6f 6d 70 75 74 |eted by |a comput|
|000015b0| 65 72 20 61 6e 64 20 63 | 6f 6e 76 65 72 74 65 64 |er and c|onverted|
|000015c0| 20 74 6f 20 69 6d 61 67 | 65 73 2e 20 42 65 63 61 | to imag|es. Beca|
|000015d0| 75 73 65 20 6f 66 20 74 | 68 65 20 73 74 72 6f 6e |use of t|he stron|
|000015e0| 67 20 6d 61 67 6e 65 74 | 69 63 20 66 69 65 6c 64 |g magnet|ic field|
|000015f0| 20 69 6e 76 6f 6c 76 65 | 64 2c 20 70 61 74 69 65 | involve|d, patie|
|00001600| 6e 74 73 20 77 69 74 68 | 20 70 61 63 65 6d 61 6b |nts with| pacemak|
|00001610| 65 72 73 20 73 68 6f 75 | 6c 64 20 6e 6f 74 20 62 |ers shou|ld not b|
|00001620| 65 20 73 75 62 6a 65 63 | 74 65 64 20 74 6f 20 4d |e subjec|ted to M|
|00001630| 52 49 20 73 63 61 6e 73 | 20 28 75 73 65 20 74 68 |RI scans| (use th|
|00001640| 65 20 43 41 54 20 73 63 | 61 6e 20 69 6e 73 74 65 |e CAT sc|an inste|
|00001650| 61 64 2e 29 00 53 4b 55 | 4c 4c 20 58 2d 52 41 59 |ad.).SKU|LL X-RAY|
|00001660| 53 10 53 6b 75 6c 6c 20 | 78 2d 72 61 79 73 20 61 |S.Skull |x-rays a|
|00001670| 72 65 20 75 73 75 61 6c | 6c 79 20 6f 72 64 65 72 |re usual|ly order|
|00001680| 65 64 20 69 66 20 61 6e | 20 69 6e 6a 75 72 79 20 |ed if an| injury |
|00001690| 74 6f 20 74 68 65 20 68 | 65 61 64 20 69 73 20 73 |to the h|ead is s|
|000016a0| 75 73 70 65 63 74 65 64 | 2e 20 57 68 65 6e 20 61 |uspected|. When a|
|000016b0| 6e 20 69 6e 6a 75 72 79 | 20 6f 63 63 75 72 73 2c |n injury| occurs,|
|000016c0| 20 61 20 63 72 61 63 6b | 20 6f 72 20 66 72 61 63 | a crack| or frac|
|000016d0| 74 75 72 65 20 69 6e 20 | 74 68 65 20 73 6b 75 6c |ture in |the skul|
|000016e0| 6c 20 69 73 20 73 68 6f | 77 6e 2e 00 41 4e 45 55 |l is sho|wn..ANEU|
|000016f0| 52 59 53 4d 53 10 41 6e | 65 75 72 79 73 6d 73 20 |RYSMS.An|eurysms |
|00001700| 61 72 65 20 61 62 6e 6f | 72 6d 61 6c 20 64 69 6c |are abno|rmal dil|
|00001710| 61 74 69 6f 6e 73 20 6f | 66 20 74 68 65 20 62 6c |ations o|f the bl|
|00001720| 6f 6f 64 20 76 65 73 73 | 65 6c 73 20 69 6e 20 74 |ood vess|els in t|
|00001730| 68 65 20 62 72 61 69 6e | 2e 20 54 68 65 20 64 69 |he brain|. The di|
|00001740| 6c 61 74 69 6f 6e 73 20 | 67 72 61 64 75 61 6c 6c |lations |graduall|
|00001750| 79 20 65 6e 6c 61 72 67 | 65 20 75 6e 74 69 6c 20 |y enlarg|e until |
|00001760| 66 69 6e 61 6c 6c 79 20 | 74 68 65 79 20 72 75 70 |finally |they rup|
|00001770| 74 75 72 65 20 61 6e 64 | 20 62 6c 65 65 64 20 69 |ture and| bleed i|
|00001780| 6e 74 6f 20 74 68 65 20 | 62 72 61 69 6e 2e 20 54 |nto the |brain. T|
|00001790| 68 65 20 72 65 73 75 6c | 74 61 6e 74 20 62 6c 65 |he resul|tant ble|
|000017a0| 65 64 69 6e 67 20 63 61 | 75 73 65 73 20 73 65 76 |eding ca|uses sev|
|000017b0| 65 72 65 20 68 65 61 64 | 61 63 68 65 20 6f 72 20 |ere head|ache or |
|000017c0| 75 6e 63 6f 6e 73 63 69 | 6f 75 73 6e 65 73 73 2e |unconsci|ousness.|
|000017d0| 20 57 65 61 6b 6e 65 73 | 73 20 6f 66 20 74 68 65 | Weaknes|s of the|
|000017e0| 20 61 72 6d 73 20 61 6e | 64 20 6c 65 67 73 20 63 | arms an|d legs c|
|000017f0| 61 6e 20 62 65 20 70 72 | 65 73 65 6e 74 2c 20 75 |an be pr|esent, u|
|00001800| 73 75 61 6c 6c 79 20 6f | 6e 20 74 68 65 20 6f 70 |sually o|n the op|
|00001810| 70 6f 73 69 74 65 20 73 | 69 64 65 2e 20 41 62 6e |posite s|ide. Abn|
|00001820| 6f 72 6d 61 6c 20 70 75 | 70 69 6c 20 64 69 6c 61 |ormal pu|pil dila|
|00001830| 74 69 6f 6e 2c 20 6c 69 | 67 68 74 20 72 65 61 63 |tion, li|ght reac|
|00001840| 74 69 6f 6e 20 61 6e 64 | 20 65 79 65 20 6d 6f 76 |tion and| eye mov|
|00001850| 65 6d 65 6e 74 20 6f 63 | 63 75 72 20 6f 6e 20 74 |ement oc|cur on t|
|00001860| 68 65 20 6f 70 70 6f 73 | 69 74 65 20 73 69 64 65 |he oppos|ite side|
|00001870| 2e 10 43 41 54 20 73 63 | 61 6e 20 6f 72 20 4d 52 |..CAT sc|an or MR|
|00001880| 49 20 73 63 61 6e 20 77 | 69 6c 6c 20 70 69 63 6b |I scan w|ill pick|
|00001890| 20 75 70 20 74 68 65 20 | 61 6e 65 75 72 79 73 6d | up the |aneurysm|
|000018a0| 20 75 6e 6c 65 73 73 20 | 74 68 65 20 62 6c 65 65 | unless |the blee|
|000018b0| 64 69 6e 67 20 69 73 20 | 73 6d 61 6c 6c 2e 20 41 |ding is |small. A|
|000018c0| 6e 67 69 6f 67 72 61 6d | 20 77 69 6c 6c 20 73 68 |ngiogram| will sh|
|000018d0| 6f 77 20 74 68 65 20 64 | 69 6c 61 74 65 64 20 62 |ow the d|ilated b|
|000018e0| 6c 6f 6f 64 20 76 65 73 | 73 65 6c 2e 20 53 6b 75 |lood ves|sel. Sku|
|000018f0| 6c 6c 20 78 2d 72 61 79 | 73 20 61 72 65 20 75 73 |ll x-ray|s are us|
|00001900| 75 61 6c 6c 79 20 6e 6f | 72 6d 61 6c 2e 00 43 4f |ually no|rmal..CO|
|00001910| 43 41 49 4e 45 20 41 44 | 44 49 43 54 49 4f 4e 10 |CAINE AD|DICTION.|
|00001920| 50 61 74 69 65 6e 74 73 | 20 6f 76 65 72 64 6f 73 |Patients| overdos|
|00001930| 65 64 20 77 69 74 68 20 | 63 6f 63 61 69 6e 65 20 |ed with |cocaine |
|00001940| 77 69 6c 6c 20 73 68 6f | 77 20 64 69 6c 61 74 65 |will sho|w dilate|
|00001950| 64 20 70 75 70 69 6c 73 | 20 62 75 74 20 66 65 77 |d pupils| but few|
|00001960| 2c 20 69 66 20 61 6e 79 | 2c 20 61 64 64 69 74 69 |, if any|, additi|
|00001970| 6f 6e 61 6c 20 61 62 6e | 6f 72 6d 61 6c 69 74 69 |onal abn|ormaliti|
|00001980| 65 73 2e 20 43 41 54 20 | 73 63 61 6e 2c 20 4d 52 |es. CAT |scan, MR|
|00001990| 49 2c 20 61 6e 67 69 6f | 67 72 61 70 68 79 20 61 |I, angio|graphy a|
|000019a0| 6e 64 20 73 6b 75 6c 6c | 20 78 2d 72 61 79 73 20 |nd skull| x-rays |
|000019b0| 61 72 65 20 61 6c 6c 20 | 6e 6f 72 6d 61 6c 2e 00 |are all |normal..|
|000019c0| 48 59 53 54 45 52 49 43 | 41 4c 20 52 45 41 43 54 |HYSTERIC|AL REACT|
|000019d0| 49 4f 4e 10 53 6f 6d 65 | 20 70 61 74 69 65 6e 74 |ION.Some| patient|
|000019e0| 73 20 64 65 76 65 6c 6f | 70 20 77 65 61 6b 6e 65 |s develo|p weakne|
|000019f0| 73 73 20 69 6e 20 74 68 | 65 20 61 72 6d 73 20 61 |ss in th|e arms a|
|00001a00| 6e 64 20 6c 65 67 73 20 | 6f 6e 20 6f 6e 65 20 73 |nd legs |on one s|
|00001a10| 69 64 65 20 61 73 20 61 | 20 72 65 61 63 74 69 6f |ide as a| reactio|
|00001a20| 6e 20 74 6f 20 61 6e 78 | 69 65 74 79 2e 20 41 20 |n to anx|iety. A |
|00001a30| 73 65 6e 73 6f 72 79 20 | 64 65 66 65 63 74 20 6d |sensory |defect m|
|00001a40| 61 79 20 61 6c 73 6f 20 | 62 65 20 70 72 65 73 65 |ay also |be prese|
|00001a50| 6e 74 2e 20 54 68 69 73 | 20 63 6f 6d 6d 6f 6e 6c |nt. This| commonl|
|00001a60| 79 20 6f 63 63 75 72 73 | 20 69 6e 20 77 6f 6d 65 |y occurs| in wome|
|00001a70| 6e 2e 10 43 41 54 20 73 | 63 61 6e 2c 20 4d 52 49 |n..CAT s|can, MRI|
|00001a80| 2c 20 61 6e 67 69 6f 67 | 72 61 70 68 79 20 61 6e |, angiog|raphy an|
|00001a90| 64 20 73 6b 75 6c 6c 20 | 78 2d 72 61 79 73 20 61 |d skull |x-rays a|
|00001aa0| 72 65 20 61 6c 6c 20 6e | 6f 72 6d 61 6c 2e 00 48 |re all n|ormal..H|
|00001ab0| 45 41 44 41 43 48 45 10 | 53 6f 6d 65 20 70 61 74 |EADACHE.|Some pat|
|00001ac0| 69 65 6e 74 73 20 68 61 | 76 65 20 70 61 69 6e 20 |ients ha|ve pain |
|00001ad0| 64 75 65 20 74 6f 20 73 | 69 6d 70 6c 65 20 68 65 |due to s|imple he|
|00001ae0| 61 64 61 63 68 65 73 2e | 20 43 41 54 20 73 63 61 |adaches.| CAT sca|
|00001af0| 6e 2c 20 4d 52 49 2c 20 | 61 6e 67 69 6f 67 72 61 |n, MRI, |angiogra|
|00001b00| 70 68 79 20 61 6e 64 20 | 73 6b 75 6c 6c 20 78 2d |phy and |skull x-|
|00001b10| 72 61 79 73 20 61 72 65 | 20 61 6c 6c 20 6e 6f 72 |rays are| all nor|
|00001b20| 6d 61 6c 2e 00 53 55 42 | 44 55 52 41 4c 20 48 45 |mal..SUB|DURAL HE|
|00001b30| 4d 41 54 4f 4d 41 10 41 | 20 73 75 62 64 75 72 61 |MATOMA.A| subdura|
|00001b40| 6c 20 68 65 6d 61 74 6f | 6d 61 20 69 73 20 61 20 |l hemato|ma is a |
|00001b50| 63 6f 6c 6c 65 63 74 69 | 6f 6e 20 6f 66 20 62 6c |collecti|on of bl|
|00001b60| 6f 6f 64 20 63 6c 6f 74 | 73 20 69 6e 20 74 68 65 |ood clot|s in the|
|00001b70| 20 73 75 62 64 75 72 61 | 6c 20 73 70 61 63 65 20 | subdura|l space |
|00001b80| 62 65 74 77 65 65 6e 20 | 74 68 65 20 62 72 61 69 |between |the brai|
|00001b90| 6e 20 61 6e 64 20 74 68 | 65 20 64 75 72 61 20 6d |n and th|e dura m|
|00001ba0| 61 74 65 72 2e 20 49 74 | 20 6f 63 63 75 72 73 20 |ater. It| occurs |
|00001bb0| 77 68 65 6e 20 74 68 65 | 72 65 20 69 73 20 61 6e |when the|re is an|
|00001bc0| 20 69 6e 6a 75 72 79 20 | 74 6f 20 74 68 65 20 68 | injury |to the h|
|00001bd0| 65 61 64 2c 20 77 68 69 | 63 68 20 6d 61 79 20 73 |ead, whi|ch may s|
|00001be0| 6f 6d 65 74 69 6d 65 73 | 20 67 6f 20 75 6e 6e 6f |ometimes| go unno|
|00001bf0| 74 69 63 65 64 20 62 79 | 20 74 68 65 20 70 61 74 |ticed by| the pat|
|00001c00| 69 65 6e 74 2e 20 57 65 | 65 6b 73 20 6d 61 79 20 |ient. We|eks may |
|00001c10| 70 61 73 73 20 62 65 66 | 6f 72 65 20 74 68 65 72 |pass bef|ore ther|
|00001c20| 65 20 61 72 65 20 61 6e | 79 20 73 69 67 6e 73 20 |e are an|y signs |
|00001c30| 6f 66 20 6e 65 75 72 6f | 6c 6f 67 69 63 61 6c 20 |of neuro|logical |
|00001c40| 74 72 61 75 6d 61 2e 20 | 48 65 61 64 61 63 68 65 |trauma. |Headache|
|00001c50| 2c 20 63 6f 6e 66 75 73 | 69 6f 6e 20 61 6e 64 20 |, confus|ion and |
|00001c60| 6f 74 68 65 72 20 6d 65 | 6e 74 61 6c 20 63 68 61 |other me|ntal cha|
|00001c70| 6e 67 65 73 20 61 72 65 | 20 61 6c 6c 20 73 79 6d |nges are| all sym|
|00001c80| 70 74 6f 6d 73 2e 20 4e | 65 75 72 6f 6c 6f 67 69 |ptoms. N|eurologi|
|00001c90| 63 61 6c 20 65 78 61 6d | 69 6e 61 74 69 6f 6e 20 |cal exam|ination |
|00001ca0| 72 65 76 65 61 6c 73 20 | 61 20 64 69 6c 61 74 69 |reveals |a dilati|
|00001cb0| 6f 6e 20 6f 66 20 74 68 | 65 20 70 75 70 69 6c 20 |on of th|e pupil |
|00001cc0| 6f 6e 20 74 68 65 20 73 | 61 6d 65 20 73 69 64 65 |on the s|ame side|
|00001cd0| 20 61 73 20 74 68 65 20 | 69 6e 6a 75 72 79 2e 20 | as the |injury. |
|00001ce0| 57 65 61 6b 6e 65 73 73 | 20 6f 63 63 75 72 73 20 |Weakness| occurs |
|00001cf0| 6f 6e 20 6f 6e 65 20 73 | 69 64 65 20 6f 66 20 74 |on one s|ide of t|
|00001d00| 68 65 20 62 6f 64 79 20 | 75 73 75 61 6c 6c 79 20 |he body |usually |
|00001d10| 6f 6e 20 74 68 65 20 73 | 61 6d 65 20 73 69 64 65 |on the s|ame side|
|00001d20| 20 61 73 20 74 68 65 20 | 69 6e 6a 75 72 79 2e 20 | as the |injury. |
|00001d30| 49 66 20 74 68 65 20 68 | 65 6d 61 74 6f 6d 61 20 |If the h|ematoma |
|00001d40| 69 73 20 6f 6e 20 74 68 | 65 20 6c 65 66 74 20 73 |is on th|e left s|
|00001d50| 69 64 65 2c 20 73 70 65 | 65 63 68 20 77 69 6c 6c |ide, spe|ech will|
|00001d60| 20 62 65 20 73 6c 75 72 | 72 65 64 2e 20 43 41 54 | be slur|red. CAT|
|00001d70| 20 61 6e 64 20 4d 52 49 | 20 73 63 61 6e 73 20 77 | and MRI| scans w|
|00001d80| 69 6c 6c 20 73 68 6f 77 | 20 61 6e 20 61 62 6e 6f |ill show| an abno|
|00001d90| 72 6d 61 6c 20 62 6c 6f | 6f 64 20 63 6c 6f 74 20 |rmal blo|od clot |
|00001da0| 61 6e 64 20 69 6e 64 65 | 6e 74 61 74 69 6f 6e 20 |and inde|ntation |
|00001db0| 6f 66 20 74 68 65 20 73 | 6b 75 6c 6c 2e 20 41 6e |of the s|kull. An|
|00001dc0| 67 69 6f 67 72 61 70 68 | 79 20 77 69 6c 6c 20 73 |giograph|y will s|
|00001dd0| 68 6f 77 20 61 20 64 69 | 73 70 6c 61 63 65 6d 65 |how a di|splaceme|
|00001de0| 6e 74 20 6f 66 20 74 68 | 65 20 62 6c 6f 6f 64 20 |nt of th|e blood |
|00001df0| 76 65 73 73 65 6c 73 20 | 62 79 20 74 68 65 20 62 |vessels |by the b|
|00001e00| 6c 6f 6f 64 20 63 6c 6f | 74 2e 20 58 2d 72 61 79 |lood clo|t. X-ray|
|00001e10| 73 20 73 68 6f 75 6c 64 | 20 73 68 6f 77 20 61 20 |s should| show a |
|00001e20| 73 6b 75 6c 6c 20 66 72 | 61 63 74 75 72 65 2e 00 |skull fr|acture..|
|00001e30| 49 4e 46 41 52 43 54 49 | 4f 4e 10 49 6e 66 61 72 |INFARCTI|ON.Infar|
|00001e40| 63 74 69 6f 6e 20 28 73 | 74 72 6f 6b 65 29 20 6f |ction (s|troke) o|
|00001e50| 63 63 75 72 73 20 77 68 | 65 6e 20 61 20 62 6c 6f |ccurs wh|en a blo|
|00001e60| 6f 64 20 76 65 73 73 65 | 6c 20 74 68 61 74 20 73 |od vesse|l that s|
|00001e70| 75 70 70 6c 69 65 73 20 | 74 68 65 20 62 72 61 69 |upplies |the brai|
|00001e80| 6e 20 62 65 63 6f 6d 65 | 73 20 62 6c 6f 63 6b 65 |n become|s blocke|
|00001e90| 64 2c 20 6f 66 74 65 6e | 20 62 79 20 61 20 73 6d |d, often| by a sm|
|00001ea0| 61 6c 6c 20 62 6c 6f 6f | 64 20 63 6c 6f 74 2e 20 |all bloo|d clot. |
|00001eb0| 42 65 63 61 75 73 65 20 | 6f 66 20 74 68 65 20 72 |Because |of the r|
|00001ec0| 65 73 75 6c 74 61 6e 74 | 20 6c 6f 73 73 20 6f 66 |esultant| loss of|
|00001ed0| 20 62 6c 6f 6f 64 20 73 | 75 70 70 6c 79 2c 20 74 | blood s|upply, t|
|00001ee0| 68 65 20 70 6f 72 74 69 | 6f 6e 20 6f 66 20 74 68 |he porti|on of th|
|00001ef0| 65 20 62 72 61 69 6e 20 | 73 75 70 70 6c 69 65 64 |e brain |supplied|
|00001f00| 20 62 79 20 74 68 65 20 | 62 6c 6f 6f 64 20 76 65 | by the |blood ve|
|00001f10| 73 73 65 6c 20 64 69 65 | 73 2e 20 54 68 69 73 20 |ssel die|s. This |
|00001f20| 72 65 73 75 6c 74 73 20 | 69 6e 20 77 65 61 6b 6e |results |in weakn|
|00001f30| 65 73 73 20 61 6e 64 20 | 6c 6f 73 73 20 6f 66 20 |ess and |loss of |
|00001f40| 73 65 6e 73 61 74 69 6f | 6e 20 6f 66 20 74 68 65 |sensatio|n of the|
|00001f50| 20 62 6f 64 79 20 6f 6e | 20 74 68 65 20 6f 70 70 | body on| the opp|
|00001f60| 6f 73 69 74 65 20 73 69 | 64 65 2e 20 50 75 70 69 |osite si|de. Pupi|
|00001f70| 6c 20 64 69 6c 61 74 69 | 6f 6e 2c 20 6c 69 67 68 |l dilati|on, ligh|
|00001f80| 74 20 72 65 61 63 74 69 | 6f 6e 20 61 6e 64 20 65 |t reacti|on and e|
|00001f90| 79 65 20 6d 6f 76 65 6d | 65 6e 74 20 77 69 6c 6c |ye movem|ent will|
|00001fa0| 20 61 6c 73 6f 20 62 65 | 20 61 66 66 65 63 74 65 | also be| affecte|
|00001fb0| 64 20 6f 6e 20 74 68 65 | 20 6f 70 70 6f 73 69 74 |d on the| opposit|
|00001fc0| 65 20 73 69 64 65 2e 20 | 49 66 20 74 68 65 20 69 |e side. |If the i|
|00001fd0| 6e 66 61 72 63 74 69 6f | 6e 20 69 73 20 6f 6e 20 |nfarctio|n is on |
|00001fe0| 74 68 65 20 6c 65 66 74 | 20 73 69 64 65 2c 20 73 |the left| side, s|
|00001ff0| 70 65 65 63 68 20 77 69 | 6c 6c 20 62 65 20 73 6c |peech wi|ll be sl|
|00002000| 75 72 72 65 64 2e 20 43 | 41 54 20 73 63 61 6e 20 |urred. C|AT scan |
|00002010| 61 6e 64 20 4d 52 49 20 | 73 68 6f 77 20 61 20 64 |and MRI |show a d|
|00002020| 61 6d 61 67 65 64 20 61 | 72 65 61 20 69 6e 20 74 |amaged a|rea in t|
|00002030| 68 65 20 62 72 61 69 6e | 2e 20 41 6e 67 69 6f 67 |he brain|. Angiog|
|00002040| 72 61 70 68 79 20 6f 66 | 74 65 6e 20 72 65 76 65 |raphy of|ten reve|
|00002050| 61 6c 73 20 74 68 65 20 | 6f 63 63 6c 75 73 69 6f |als the |occlusio|
|00002060| 6e 2e 20 53 6b 75 6c 6c | 20 78 2d 72 61 79 73 20 |n. Skull| x-rays |
|00002070| 61 72 65 20 6e 6f 72 6d | 61 6c 2e 00 4d 49 47 52 |are norm|al..MIGR|
|00002080| 41 49 4e 45 20 48 45 41 | 44 41 43 48 45 10 4d 69 |AINE HEA|DACHE.Mi|
|00002090| 67 72 61 69 6e 65 73 20 | 61 72 65 20 6d 61 72 6b |graines |are mark|
|000020a0| 65 64 20 62 79 20 74 68 | 65 20 64 69 6c 61 74 69 |ed by th|e dilati|
|000020b0| 6f 6e 20 6f 72 20 73 70 | 61 73 6d 69 6e 67 20 6f |on or sp|asming o|
|000020c0| 66 20 62 6c 6f 6f 64 20 | 76 65 73 73 65 6c 73 20 |f blood |vessels |
|000020d0| 69 6e 20 74 68 65 20 62 | 72 61 69 6e 2e 20 54 68 |in the b|rain. Th|
|000020e0| 65 72 65 20 61 72 65 20 | 73 65 76 65 72 61 6c 20 |ere are |several |
|000020f0| 74 79 70 65 73 20 6f 66 | 20 6d 69 67 72 61 69 6e |types of| migrain|
|00002100| 65 2c 20 6f 6e 65 20 6f | 66 20 77 68 69 63 68 20 |e, one o|f which |
|00002110| 63 61 6e 20 63 61 75 73 | 65 20 77 65 61 6b 6e 65 |can caus|e weakne|
|00002120| 73 73 20 6f 66 20 74 68 | 65 20 61 72 6d 20 61 6e |ss of th|e arm an|
|00002130| 64 20 6c 65 67 20 6f 6e | 20 6f 6e 65 20 73 69 64 |d leg on| one sid|
|00002140| 65 20 73 69 6d 69 6c 61 | 72 20 74 6f 20 61 20 73 |e simila|r to a s|
|00002150| 74 72 6f 6b 65 2e 20 52 | 65 66 6c 65 78 65 73 20 |troke. R|eflexes |
|00002160| 63 61 6e 20 62 65 20 61 | 67 67 72 61 76 61 74 65 |can be a|ggravate|
|00002170| 64 20 61 6c 73 6f 2e 20 | 53 70 65 65 63 68 20 77 |d also. |Speech w|
|00002180| 69 6c 6c 20 6f 66 74 65 | 6e 20 62 65 20 73 6c 75 |ill ofte|n be slu|
|00002190| 72 72 65 64 2e 20 43 41 | 54 20 73 63 61 6e 2c 20 |rred. CA|T scan, |
|000021a0| 4d 52 49 2c 20 61 6e 67 | 69 6f 67 72 61 70 68 79 |MRI, ang|iography|
|000021b0| 20 61 6e 64 20 73 6b 75 | 6c 6c 20 78 2d 72 61 79 | and sku|ll x-ray|
|000021c0| 73 20 61 72 65 20 61 6c | 6c 20 6e 6f 72 6d 61 6c |s are al|l normal|
|000021d0| 2e 00 4d 4f 52 50 48 49 | 4e 45 20 4f 56 45 52 44 |..MORPHI|NE OVERD|
|000021e0| 4f 53 45 10 50 61 74 69 | 65 6e 74 73 20 61 64 64 |OSE.Pati|ents add|
|000021f0| 69 63 74 65 64 20 74 6f | 20 6d 6f 72 70 68 69 6e |icted to| morphin|
|00002200| 65 20 61 72 65 20 65 61 | 73 69 6c 79 20 69 64 65 |e are ea|sily ide|
|00002210| 6e 74 69 66 69 65 64 20 | 62 79 20 74 68 65 69 72 |ntified |by their|
|00002220| 20 6e 61 72 72 6f 77 65 | 64 2c 20 6e 6f 6e 2d 72 | narrowe|d, non-r|
|00002230| 65 61 63 74 69 76 65 20 | 70 75 70 69 6c 73 2e 20 |eactive |pupils. |
|00002240| 4d 6f 73 74 20 6f 74 68 | 65 72 20 6e 65 75 72 6f |Most oth|er neuro|
|00002250| 6c 6f 67 69 63 61 6c 20 | 74 65 73 74 73 20 77 69 |logical |tests wi|
|00002260| 6c 6c 20 61 70 70 65 61 | 72 20 6e 6f 72 6d 61 6c |ll appea|r normal|
|00002270| 2e 20 43 41 54 20 73 63 | 61 6e 2c 20 4d 52 49 2c |. CAT sc|an, MRI,|
|00002280| 20 61 6e 67 69 6f 67 72 | 61 70 68 79 20 61 6e 64 | angiogr|aphy and|
|00002290| 20 73 6b 75 6c 6c 20 78 | 2d 72 61 79 73 20 61 72 | skull x|-rays ar|
|000022a0| 65 20 61 6c 6c 20 6e 6f | 72 6d 61 6c 2e 00 50 45 |e all no|rmal..PE|
|000022b0| 52 49 50 48 45 52 41 4c | 20 4e 45 55 52 4f 50 41 |RIPHERAL| NEUROPA|
|000022c0| 54 48 59 10 4e 65 75 72 | 6f 70 61 74 68 79 20 69 |THY.Neur|opathy i|
|000022d0| 73 20 73 69 6d 70 6c 79 | 20 61 6e 20 69 6e 6a 75 |s simply| an inju|
|000022e0| 72 79 20 74 6f 20 61 20 | 6e 65 72 76 65 20 63 6f |ry to a |nerve co|
|000022f0| 6e 6e 65 63 74 69 6e 67 | 20 74 68 65 20 63 65 6e |nnecting| the cen|
|00002300| 74 72 61 6c 20 6e 65 72 | 76 6f 75 73 20 73 79 73 |tral ner|vous sys|
|00002310| 74 65 6d 20 74 6f 20 6f | 6e 65 20 6f 66 20 74 68 |tem to o|ne of th|
|00002320| 65 20 70 61 74 69 65 6e | 74 27 73 20 65 78 74 72 |e patien|t's extr|
|00002330| 65 6d 69 74 69 65 73 2e | 20 49 74 20 69 73 20 63 |emities.| It is c|
|00002340| 68 61 72 61 63 74 65 72 | 69 7a 65 64 20 62 79 20 |haracter|ized by |
|00002350| 6d 6f 74 6f 72 20 77 65 | 61 6b 6e 65 73 73 20 6f |motor we|akness o|
|00002360| 72 20 6c 61 63 6b 20 6f | 66 20 73 65 6e 73 61 74 |r lack o|f sensat|
|00002370| 69 6f 6e 20 69 6e 20 6f | 6e 65 20 6f 66 20 74 68 |ion in o|ne of th|
|00002380| 65 20 70 61 74 69 65 6e | 74 27 73 20 6c 69 6d 62 |e patien|t's limb|
|00002390| 73 2c 20 64 65 70 65 6e | 64 69 6e 67 20 6f 6e 20 |s, depen|ding on |
|000023a0| 74 68 65 20 6e 65 72 76 | 65 73 20 61 66 66 65 63 |the nerv|es affec|
|000023b0| 74 65 64 2e 20 43 41 54 | 20 73 63 61 6e 2c 20 4d |ted. CAT| scan, M|
|000023c0| 52 49 2c 20 61 6e 67 69 | 6f 67 72 61 70 68 79 20 |RI, angi|ography |
|000023d0| 61 6e 64 20 73 6b 75 6c | 6c 20 78 2d 72 61 79 73 |and skul|l x-rays|
|000023e0| 20 61 72 65 20 61 6c 6c | 20 6e 6f 72 6d 61 6c 2e | are all| normal.|
|000023f0| 00 42 52 41 49 4e 20 54 | 55 4d 4f 52 10 42 72 61 |.BRAIN T|UMOR.Bra|
|00002400| 69 6e 20 74 75 6d 6f 72 | 73 20 75 73 75 61 6c 6c |in tumor|s usuall|
|00002410| 79 20 67 72 6f 77 20 71 | 75 69 74 65 20 67 72 61 |y grow q|uite gra|
|00002420| 64 75 61 6c 6c 79 2e 20 | 54 68 65 20 74 75 6d 6f |dually. |The tumo|
|00002430| 72 20 70 72 65 73 73 65 | 73 20 6f 6e 20 74 68 65 |r presse|s on the|
|00002440| 20 6e 6f 72 6d 61 6c 20 | 62 72 61 69 6e 20 74 69 | normal |brain ti|
|00002450| 73 73 75 65 73 20 63 61 | 75 73 69 6e 67 20 68 65 |ssues ca|using he|
|00002460| 61 64 61 63 68 65 20 6f | 72 20 77 65 61 6b 6e 65 |adache o|r weakne|
|00002470| 73 73 20 69 6e 20 74 68 | 65 20 61 72 6d 73 20 6f |ss in th|e arms o|
|00002480| 72 20 6c 65 67 73 2e 20 | 52 65 66 6c 65 78 65 73 |r legs. |Reflexes|
|00002490| 20 77 69 6c 6c 20 62 65 | 20 61 67 67 72 61 76 61 | will be| aggrava|
|000024a0| 74 65 64 20 61 6e 64 20 | 74 68 65 72 65 20 77 69 |ted and |there wi|
|000024b0| 6c 6c 20 62 65 20 61 20 | 6c 6f 73 73 20 6f 66 20 |ll be a |loss of |
|000024c0| 73 65 6e 73 61 74 69 6f | 6e 20 6f 6e 20 74 68 65 |sensatio|n on the|
|000024d0| 20 6f 70 70 6f 73 69 74 | 65 20 73 69 64 65 20 66 | opposit|e side f|
|000024e0| 72 6f 6d 20 74 68 65 20 | 74 75 6d 6f 72 2e 20 49 |rom the |tumor. I|
|000024f0| 66 20 74 68 65 20 74 75 | 6d 6f 72 20 69 73 20 6f |f the tu|mor is o|
|00002500| 6e 20 74 68 65 20 6c 65 | 66 74 20 73 69 64 65 2c |n the le|ft side,|
|00002510| 20 73 70 65 65 63 68 20 | 77 69 6c 6c 20 62 65 20 | speech |will be |
|00002520| 69 6d 70 61 69 72 65 64 | 2e 10 54 68 65 20 74 75 |impaired|..The tu|
|00002530| 6d 6f 72 20 77 69 6c 6c | 20 61 70 70 65 61 72 20 |mor will| appear |
|00002540| 6f 6e 20 74 68 65 20 43 | 41 54 20 6f 72 20 4d 52 |on the C|AT or MR|
|00002550| 49 20 73 63 61 6e 2e 20 | 54 68 65 20 61 6e 67 69 |I scan. |The angi|
|00002560| 6f 67 72 61 6d 20 77 69 | 6c 6c 20 72 65 76 65 61 |ogram wi|ll revea|
|00002570| 6c 20 61 6e 20 69 6e 76 | 69 73 69 62 6c 65 20 6d |l an inv|isible m|
|00002580| 61 73 73 20 63 6f 6d 70 | 72 65 73 73 69 6e 67 20 |ass comp|ressing |
|00002590| 74 68 65 20 62 6c 6f 6f | 64 20 76 65 73 73 65 6c |the bloo|d vessel|
|000025a0| 73 2e 20 53 6b 75 6c 6c | 20 78 2d 72 61 79 73 20 |s. Skull| x-rays |
|000025b0| 61 72 65 20 75 73 75 61 | 6c 6c 79 20 6e 6f 72 6d |are usua|lly norm|
|000025c0| 61 6c 2e 00 14 0e 10 11 | 0f 10 13 0d 14 0d 0f 10 |al......|........|
+--------+-------------------------+-------------------------+--------+--------+