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the topic is orthostatic intolerance i abbreviated a lie im a studying only young people which includes people up to the age of 29 now and our practice is primarily younger than that but as my children aged past their 20s my definition of pediatrics has changed ingly an important point i like to make which i think in the other version i made outstanding but here is that that ortho the word orthostasis is often used to mean orthostatic intolerance and what it really means is standing upright so a patient who becomes orthostatic means that they stood up in front of you and and hopefully most people can on the other hand orthostatic intolerance i think this definition may come from david roberts and vanderbilt but um i think its well defined by an inability to tolerate remaining upright because of various signs things you can measure and symptoms and that at least to some extent these need to be relieved by becoming recumbent by lying down again i believe the coral area of this is that