Significance of crystal clear urine.
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Biomedical subjects
Publications and source records attributed to K Rawal.
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Status epilepticus represents a true medical emergency that can affect all age groups. Failure to adequately treat this problem can lead to potentially serious systemic and neurologic complications. Management strategies should include stabilization of the cardiovascular and respiratory status of the patient, use of anticonvulsants intravenously and in proper doses, search for a cause, and maintenance therapy.
Patients with cystic fibrosis (CF) and pancreatic malabsorption frequently have vitamin E deficiency. Affected patients may develop spinocerebellar degeneration with dysarthria, ataxia, proximal weakness, proprioceptive loss and areflexia. Of a highly selected group of 10 patients with vitamin E levels below 5 micrograms/ml (normal 5-20 micrograms/ml), 7 had abnormal neurological examinations, predominantly affecting vibration and joint position perception with some severely affected patients manifesting diminished visual acuity, tremor, ataxia and diffuse weakness. Evoked potential studies showed marked abnormalities in 3 patients, demonstrating deficits in the optic pathways and in the cervical cord dorsal column pathways. Evoked potential studies may supplement careful neurological examination in patients with CF before and after supplementation with vitamin E to evaluate their progression and response to treatment.