By Ben Benjamin
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Additional resources for Are You Tense? THE BENJAMIN SYSTEM OF MUSCULSR THERAPY
This can lead to aortic rupture, which has an 80 per cent mortality rate. When the ascending thoracic aorta and/or the aortic arch are involved, this is referred to as a type A dissection, whereas type B dissections involve the descending thoracic aorta. The disparity in blood pressure between the arms indicates that the arch is involved. There is a widened mediastinum on the chest X-ray. This can suggest that there is dissection of the thoracic aorta. The clinical signs of differing blood pressure in each arm, tachycardia and aortic regurgitation (early diastolic murmur in aortic region, collapsing pulse) are compatible with this diagnosis.
The fundoscopy ﬁndings of haemorrhage and infarction (often described as a ‘pizza’ appearance) are typical for CMV retinitis. The majority of people in the UK have been infected at some point with CMV and are usually asymptomatic from this. Immunocompromised patients are at risk of developing severe CMV infections, with pathologies such as pneumonitis, gastritis, colitis and retinitis developing. CMV retinitis is an inﬂammation of the retina that often starts with symptoms of visual blurring and can rapidly progress to permanent visual loss if not treated urgently.
This can help to prevent development of Wernicke’s encephalopathy and Korsakoff’s psychosis. When he has recovered, the patient should be referred to alcohol support services if he wishes to continue to abstain from alcohol intake in the future. KEY POINTS • People withdrawing from alcohol are at high risk of seizures. • Patients with a history of alcohol excess, who are at risk of alcohol withdrawal, should be monitored closely using a scoring system such as the CIWA score. They may require small doses of benzodiazepines to control their symptoms.
Are You Tense? THE BENJAMIN SYSTEM OF MUSCULSR THERAPY by Ben Benjamin