By Derrick Lonsdale
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Additional resources for A Nutritionist's Guide to the Clinical Use of Vitamin B-1
The femoral artery can frequently be heard by auscultation over the inguinal ligament; the heart may also be markedly hyperactive, and there may be an apical flow murmur suggestive of minimal mitral regurgitation. The patellar reflexes are frequently absent, but can be elicited by the expediency of reinforcement, a phenomenon associated with dysautonomic function already described. On the other hand, perhaps dependent upon the nature of the imbalance, the patellar reflex is sometimes unpredictable, hyperactive, "hung up" or double.
In the other case (case 7) the mother was ignorant of family history details. She was also surprised to find that her marriage was consanguinous and that there was an incidence of infants dying unexpectedly in the crib. Further examples of unusual family histories are described in Chapter 5. The cases reported here are in order to illustrate the diversity of autonomic dysfunction, and to show that it might be a key phenomenon in sudden death. 23 III. 8 FIGURE 4 Hypertension. Recurrent "Hypoglycemic Coma" Twins, died in infancy.
The small, overprotected child is relatively infantilized, pernickety, unhappy and excessively irritable, sleeps restlessly at night and has nocturnal symptoms which include frequent awakening, sometimes with a start, night terrors, sleep talking, somnambulism, restlessness during sleep, and sweating, particularly on the scalp and forehead. Enuresis is also common. Older children and adolescents have similar symptoms and exhibit this pattern at night, but can also describe their unpleasant and frequently repetitive dreams.