The word ambulance originally meant a moving hospital which follows an army in its movements. Later this term was referred to as field hospitals where ambulance wagons delivered patients. Perhaps it is sad state of human affairs that the history of ambulances follow the history of warfare.
Adie syndrome presents with three hallmark symptoms, namely at least one abnormally dilated pupil (mydriasis) which does not constrict in response to light, loss of deep tendon reflexes, and abnormalities of sweating. Other signs may include hyperopia due to accommodative paresis, photophobia and difficulty reading.
Uremic fetor (ammonia or urinelike odor to the breath) also may be present. Symptoms of uremic encephalopathy include fatigue, muscle weakness, malaise, headache, restless legs, asterixis, polyneuritis, mental status changes, muscle cramps, seizures, stupor, and coma. Amyloid deposits may result in medial nerve neuropathy, carpal tunnel syndrome, or other nerve entrapment syndromes.