NeuroEthics and End of Life Care

Jul 11, 2021 by in EMERGENCY MEDICINE Comments Off on NeuroEthics and End of Life Care

The emergency department is where the patient and potential ethical challenges are first encountered. Patients with acute neurologic illness introduce a unique set of dilemmas related to the pressure for…

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Diagnosis of Patients with Acute Dizziness

Jul 11, 2021 by in EMERGENCY MEDICINE Comments Off on Diagnosis of Patients with Acute Dizziness

Using an algorithmic approach to acutely dizzy patients, physicians can often confidently make a specific diagnosis that leads to correct treatment and should reduce the misdiagnosis of cerebrovascular events. Emergency…

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Approach to Acute Weakness

Jul 11, 2021 by in EMERGENCY MEDICINE Comments Off on Approach to Acute Weakness

Weakness has a broad differential diagnosis. A paradigm for organizing possibilities is to consider what part of the nervous system is involved, ranging from brain, spinal cord, nerve roots, and…

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Diagnosis of Coma

Jul 11, 2021 by in EMERGENCY MEDICINE Comments Off on Diagnosis of Coma

The differential diagnosis for the comatose patient is includes structural abnormality, seizure, encephalitis, metabolic derangements, and toxicologic etiologies. Identifying and treating the underlying pathology in a timely manner is critical…

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Emergency Neuropharmacology

Jul 11, 2021 by in EMERGENCY MEDICINE Comments Off on Emergency Neuropharmacology

Management of acute neurologic disorders in the emergency department is multimodal and may require the use of medications to decrease morbidity and mortality secondary to neurologic injury. Clinicians should form…

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Functional Seizures

Jul 11, 2021 by in EMERGENCY MEDICINE Comments Off on Functional Seizures

Functional or psychogenic seizures have proved a diagnostic and therapeutic challenge for centuries. Functional seizures can look and feel similar to epileptic seizures but are instead a common and highly…

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Central Nervous System Infections in the Immunocompromised Adult Presenting to the Emergency Department

Jul 11, 2021 by in EMERGENCY MEDICINE Comments Off on Central Nervous System Infections in the Immunocompromised Adult Presenting to the Emergency Department

Over the past 2 decades, the population of immunocompromised patients has increased dramatically in the United States. These patients are at elevated risk for both community-acquired and opportunistic central nervous system…

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