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The Gerstmann syndrome case report and review of the literature.

The family must be supported as it faces the frightening specter of a deranged mind with peculiar behaviors and all it signifies.Arbuse DI. Nurses are burdened with the need to provide satisfactory care and a safe immediate environment for the patient, and at the same time, maintain a tranquil atmosphere for other patients. The physician has to cope with the problem of diagnosis, often without the advantage of a lucid history, and any program of therapy is constantly impeded by the patient's inattention, agitation, sleeplessness, and inability to cooperate. Occurring, as it often does, during an infection with fever or in the course of a toxic or metabolic disorder (such as renal or hepatic failure) or as an effect of medication, drugs, or alcohol, it never fails to create grave problems for the physician, nursing personnel, and family. The striking event in which a patient with previously intact mentality becomes acutely confused is observed almost daily on the medical, surgical, and emergency wards of a general hospital.

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