Lecture 44

Question 1

What are pertinent ANS symptoms?

Answer 1

1. orthostatic lighheadedness
2. vasomotor symptoms- discoloration of skin
3. secretomotor symptoms- dry mouth, dry eyes, excessive salivation
4. postprandial symptoms - anxiety
5. GI symptoms - anorexia, bloating, constipation, vomiting, and pain
6. bladder - incomplete emptying
7. sexual issues - loss of function
8. sleep issues - restlessness
9. eyes - blurred vision

Question 2

what are the noninvasive bedside tests?

Answer 2

1. bp response to standing or tilting forward
2. HR response to standing
3. HR variation with respiration
4. sweat test

Question 3

What is the normal response to standing up or tilting forward?

Answer 3

BP will drop 10/20 mm Hg anything higher is abnormal

Question 4

What is the normal response to heart rate when standing?

Answer 4

increase 11-90 beats per minute

Question 5

What is the normal response to HR variation with respiration?

Answer 5

initial increase in rate, but their is a rapid decrease

Question 6

what is the normal response to the sweat test?

Answer 6

sweat is present all over body and limbs

Question 7

what is being tested when doing the standing up or tilting forward test?

Answer 7

afferent and sympathetic efferent limbs

Question 8

what is being tested when doing the standing up standing test?

Answer 8

parasympathetic (vagal) afferent and efferent limbs

Question 9

what is being tested when HR variation is being tested with respiration?

Answer 9

vagal afferent and efferent limbs

Question 10

what is being tested during the sweat test?

Answer 10

sympathetic efferent limb

Question 11

how can the sympathetic efferent pathways be further tested?

Answer 11

sudomotor activity

Question 12

what are symptoms of hyper-excitability of the adrenal glands?

Answer 12

anxiety, palpitations, and weight loss

hypertension and tachycarida