Neurology
- A 69-year-old woman with double vision and lower-extremity weakness
The onset was sudden, and the symptoms were gradually getting worse.
- A sleeping beast: Obstructive sleep apnea and stroke
Up to two-thirds of patients who have had a stroke have obstructive sleep apnea afterward, with worse outcomes.
- Dabigatran-induced esophagitis
The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.
- Evaluating and managing postural tachycardia syndrome
Therapy rarely cures it, but a multifaceted approach can substantially improve quality of life.
- Gastroparesis in a patient with diabetic ketoacidosis
Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.
- Is neuroimaging necessary to evaluate syncope?
If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.
- Acute-onset quadriplegia with hyperreflexia
MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.
- What can I do when first-line measures are not enough for vasovagal syncope?
Second-line measures include midodrine, fludrocortisone, beta-blockers, and SSRIs, but evidence is limited.
- Cannabis for peripheral neuropathy: The good, the bad, and the unknown
Even where it is legal, doctors should recommend it only after careful consideration.
- Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
A review of study results from the last 2 years.