Slurred Words

A sleepless young man with red eyes and slurred speech?

Ischaemic strokes can be the first presentation of ANCA-associated vasculitis, not only in patients with established disease. They can involve small vessels supplying subcortical structures, including the basal ganglia and thalamus. Early recognition and immunosuppresion of ANCA-associated vasculitis prevents life-threatening pulmonary and renal complications while likely to improve outcomes fr...

Ophthalmoplegia and Slurred Speech in an Intravenous Drug User

A 35-year-old unemployed man presented to Accident and Emergency with a three-day history of progressive diplopia and a one-day history of slurred speech. There was no history of fever, paraesthesiae, dysphagia, or respiratory diffi culty. He admitted drug abuse including " muscling " (intramuscular injection of heroin). On examination, the patient was well, ambulant, alert, and orientated. Vit...

Words, words, words

‘Words, words, words.’ This was Hamlet’s reply to Polonius’ question, ‘What do you read, my lord?’ (Shakespeare, 1603) [1]. By repeating the word three times, Hamlet suggests that what he is reading is meaningless. Before launching the journal Archives of Public Health, we have asked ourselves: ‘Do we not already produce too many words too many journals?’ or in other words ‘What is the added va...

"Words, words, words".

The aim of this paper is to call to attention a very large and important area of human factors engineering that is almost entirely neglected. This area consists of the language and the words that are attached to the tools, machines, systems, and operations with which human factors engineers are concerned. Examples, illustrations, and data are cited to show that changes in the words used in man-...

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