Neurology
- A large, painless bulla on the right foot
A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.
- Discontinuing antidepressants: Pearls and pitfalls
To date, no formal schedule for tapering antidepressants has been validated. The maxim “slower is better” applies.
- A painful mass in the jaw
The patient presented with a painful mass in the left side of her jaw, headache, lockjaw, painful swallowing, night sweats, and unintentional weight loss.
- Evaluation and management of orthostatic hypotension: Limited data, limitless opportunity
Orthostatic hypotension is common and can have serious consequences. The author offers a systematic approach to evaluation and management.
- A perspective on discussing COVID-19 vaccines: Efficacy and adverse effects
Physicians should be vigilant and open-minded regarding possible adverse reactions to the vaccines, and should take time to discuss the demonstrated efficacy of vaccines with patients.
- COVID-19 vaccine-induced cellulitis and myositis
The day after receiving the second dose of the mRNA vaccine, redness and pain developed at the injection site, eventually involving the whole left arm and shoulder.
- Metronidazole-induced encephalopathy: Symmetrical hyperintensity on imaging
The diagnosis should be based on a combination of the patient’s clinical history, laboratory findings, and imaging results.
- Revisiting the ‘great masquerader’
An HIV patient presents with scaly brown lesions on the palms and soles, mildly painful oral erosions, and a buzzing sound in the right ear for the past 20 days.
- Rapid cognitive decline and myoclonus in a 52-year-old woman
Symptoms also included confusion, blank staring, blurred vision, incoordination of the extremities, decreased verbal communication, and holding her left hand in a fist.
- Abdominal pseudohernia due to herpes zoster
A 66-year-old man presents with bulging and persistent burning pain in the right abdominal side for 4 days.