Evaluation of Purpura
Evaluation of Purpura Purpura represents bleeding into the skin. In the office setting, patients present with easy bruising, spontaneous ecchymoses, or a petechial rash. Although many cases of purpura are…
Evaluation of Pruritus
Evaluation of Pruritus Peter C. Schalock Arthur J. Sober Pruritus (itch) is an unpleasant cutaneous sensation that provokes the urge to scratch. It may be localized or generalized, or acute…
Screening for Skin Cancers
Screening for Skin Cancers Arthur J. Sober Peter C. Schalock Neoplasms of the skin are among the most common cancers in humans and a source of considerable morbidity and mortality,…
Management of Tic Douloureux (Trigeminal Neuralgia)
Management of Tic Douloureux (Trigeminal Neuralgia) Amy A. Pruitt Tic douloureux or trigeminal neuralgia (TN) is among the most excruciating of pain syndromes seen in office practice. Fifteen thousand new…
Approach to the Patient with Bell Palsy (Idiopathic Facial Mononeuropathy)
Approach to the Patient with Bell Palsy (Idiopathic Facial Mononeuropathy) Amy A. Pruitt Bell palsy denotes abrupt paralysis of the facial muscles innervated by the seventh cranial nerve. The condition…
Approach to the Patient with Parkinson Disease
Approach to the Patient with Parkinson Disease Amy A. Pruitt Parkinson disease (PD) is the second most common neurodegenerative disease in older Americans, affecting more than 1 million people in…
Management of Alzheimer Disease
Management of Alzheimer Disease M. Cornelia Cremens According to the prevalence data from the National Institute on Aging, approximately 5.1 million Americans suffer from Alzheimer disease (AD). With the aging…
Management of Multiple Sclerosis
Management of Multiple Sclerosis Amy A. Pruitt Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system (CNS), affecting approximately 2.5 million young adults worldwide, some…
Management of Transient Ischemic Attack and Asymptomatic Carotid Bruit
Management of Transient Ischemic Attack and Asymptomatic Carotid Bruit Amy A. Pruitt Stroke is the leading cause of disability among adults in the United States. Although medical and surgical therapies…
Approach to the Patient with a Seizure
Approach to the Patient with a Seizure Amy A. Pruitt In the United States, the prevalence of epilepsy is 6 to 8 per 1,000, and approximately one of every eleven…
