Evaluation of Dementia
Evaluation of Dementia Amy A. Pruitt Dementia is defined as the acquired decline in cognitive ability that impairs activities of daily living. New terms defining cognitive impairment with lesser degrees…
Focal Neurologic Complaints: Evaluation of Nerve Root and Peripheral Nerve Syndromes
Focal Neurologic Complaints: Evaluation of Nerve Root and Peripheral Nerve Syndromes Amy A. Pruitt Primary physicians are frequently asked to evaluate complaints of focal numbness, tingling, weakness, pain, or some…
Evaluation of Tremor
Evaluation of Tremor Amy A. Pruitt Tremor is defined as a regular oscillation of a body part, and it must be distinguished from other rapid, involuntary movements. Many patients assume…
Evaluation of Dizziness
Evaluation of Dizziness Amy A. Pruitt Dizziness can be one of the more frustrating complaints to assess; the task is often made difficult by a vague history and a large…
Approach to the Patient with Headache
Approach to the Patient with Headache Amy A. Pruitt A complaint of headache raises numerous diagnostic possibilities. Fortunately, less than 1% of cases of headache that come to medical attention…
Prevention and Management of Osteoporosis
Prevention and Management of Osteoporosis David M. Slovik Osteoporosis is a major health problem that predisposes to incapacitating fractures and increased morbidity and mortality. It affects an estimated 10 million…
Approach to the Patient with Raynaud Phenomenon
Approach to the Patient with Raynaud Phenomenon Sensitivity of the fingertips and toes to cold is a common symptom, reported in up to 10% of adults. In 3% to 5%,…
Management of Paget Disease
Management of Paget Disease David M. Slovik Paget disease of bone, or osteitis deformans, is a focal disorder characterized by excessive resorption and rapid, disorganized formation of new bone leading…
Approach to the Patient with Polymyalgia Rheumatica or Giant Cell (Temporal) Arteritis
Approach to the Patient with Polymyalgia Rheumatica or Giant Cell (Temporal) Arteritis Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) are believed to be manifestations of the same immunologic disease…
Approach to the Patient with Lyme Disease
Approach to the Patient with Lyme Disease Lyme disease is a treatable multisystem illness caused by infection with the tick-borne spirochete Borrelia burgdorferi. The condition has become the most common…
