Neurology
The Clinical Picture
Osmotic demyelination syndrome due to hyperosmolar hyperglycemia
Rapid correction of chronic hyponatremia can trigger this rare but life-threatening disorder.
1-Minute Consult
What inpatient treatments do we have for acute intractable migraine?
Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.
The Clinical Picture
Central nervous system lymphoma mimicking Bell palsy
Failure of presumed Bell palsy to improve should prompt an evaluation for an underlying condition.
Editorial
Is a detailed neurologic physical examination always necessary?
In medicine, we need all the help we can get.
Letters To The Editor
‘Non-criteria’ antiphospholipid antibodies and thrombosis
Antiprothrombin antibodies are associated with thrombosis, can be considered features of antiphospholipid antibody syndrome in the right clinical...
Letters To The Editor
In reply: ‘Non-criteria’ antiphospholipid antibodies and thrombosis
We do not routinely screen for these “non-criteria” antibodies, but we agree that this is an area that warrants further investigation.
The Clinical Picture
Eyes of the mimicker
A 42-year-old man presented with intermittent fevers, rigors, headache, and myalgia, and now, one-sided vision loss.
Reviews
Alzheimer dementia: Starting, stopping drug therapy
It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.
IM Board Review
A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
From the Editor
Deprescribing: When trying for less is more
We should periodically revisit the goals and rationale for all prescribed medications