Autonomic Assessment

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Autonomic Assessment:

Changes in blood pressure and pulse rate:
Pulse and blood pressure are taken with patient relaxed in a supine position and then again on standing.
Normally, pulse rate should increase about 10-12 beats/minute, the systolic blood pressure should drop by about 30mmHg and diastolic by about 15mmHg.
Any abnormalities  suggest autonomic dysfunction

Valsalva manoeuvre:

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