Emphysematous Pancreatitis in a 61-year-old Man
January 29, 2013
Emphysematous pancreatitis is typically managed with broad-spectrum antibiotics and early surgical debridement. Here, a case that supports more recent evidence for conservative therapy.
Condylomata Acuminata (Severe External Genital Warts)
January 28, 2013
Extensive condylomata acuminata are beyond the capacity of all topical therapies. The area was initially treated by carbon dioxide laser ablation, and residual small foci of infection were subsequently treated with topical 5% imiquimod cream.
Here: 10 tips that can help you provide optimal care of your patients with MS. . Read More
A woman in her 40s presented to the ED several times after an automobile accident. Day 1: Shoulder and neck pain. Day 8: Pain resolved, but vertigo/headache/vomiting. Day 10: Severe vertigo. All neurologic exams, normal. What test would you order next? Read More
Patients who are experiencing pseudoexacerbations or confirmed exacerbations of disease should be assessed and monitored for depressive and anxiety symptoms.Read more
A 39-year-old woman presented to the clinic with 2-month history of progressively worsening headache and right-sided ataxia. Brain MRI demonstrated a 4.5-cm, nonenhancing, T1 hypointense mass on the right cerebellar hemisphere.Read More
Taking Alzheimer Research Down New Protein Paths
May 16, 2013
Researchers have devoted themselves to devising ways of blocking the production or accumulation of beta-amyloid. Now scientists are studying other protein targets, including tau.
Top 10 Common Medication Errors—Drug #8: Carbamazepine
April 29, 2013
A 9 kg 15-month-old girl with new-onset generalized tonic-clonic seizure was discharged with instructions to take carbamazepine suspension (45 mg PO BID [10 mg/kg/d]), which she'd been receiving in the hospital. In the clinic, her carbamazepine blood level was subtherapeutic. The dose was increased to 68 mg PO BID. A week later, the carbamazepine level was still subtherapeutic, but no doses had been missed. What’s the problem here?
Migraine Triggers Tricky for Patients to Pinpoint
April 16, 2013
Most patients have a sophisticated idea of what causes their headaches, but the chances of this information being wrong are higher than desirable unless the patient formally experimented with triggers.
First Stroke Risk Reduced With High Fiber Intake
April 10, 2013
Persons who eat a high-fiber diet experience a lower risk of first-time stroke, according to a new meta-analysis that supports current guidelines to increase fiber consumption.
New Multiple Sclerosis Drugs
April 8, 2013
With no drugs to offer a cure for multiple sclerosis, clinicians should have a wide variety of treatment options available for their patients.
Neurologic Complications of Chemotherapy
March 18, 2013
Five-year survival rates are as high as 80% for most forms of childhood cancer. The chemotherapies that help prolong life, however, can have devastating side effects.
Neurologic Complications of Down Syndrome
February 7, 2013
Neurologic complications associated with Down syndrome include dystonia, epilepsy, psychiatric problems, cardiac defects, and auditory and visual defects.
Sex Ratio of Multiple Sclerosis
February 4, 2013
The worldwide sex ratio of MS has been substantially changing over the last century. Environmental factor/s appear to be at work in a sex-specific manner.
The Charcot Foot: A Missed Diagnosis Can Cost a Limb
January 30, 2013
The Charcot foot, if unmanaged, can lead to a severe, limb-threatening condition. It must be distinguished from the similarly presenting and more common infectious processes so that proper treatment can be instituted immediately, limiting the resultant deformities and other complications.
Multiple Sclerosis as Seen on MRI: A Photo Essay
January 8, 2013
MRI is now central to the diagnosis of multiple sclerosis. Because of the modality’s high sensitivity to inflammation and demyelinating plaques, roughly 90% of all MS diagnoses are now based on MRI findings.
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