Journal Feed Weekly Wrap-Up
Our wrap-up this week covers febrile seizure, duration of antibiotic therapy for strep throat, fluid bolus before intubation, and the 2019 ACEP policy on acute headaches.
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Neurology
Medical Malpractice Insights: Cauda equina syndrome requires timely diagnosis
Chuck brings a tough case of cauda equina syndrome in this month’s Medical Malpractice Insights.
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The Sick Meningitis Patient – From Bad to Worse
What should you do with the critically ill patient with meningitis?
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EM@3AM: Myasthenia Gravis and Crisis
A 29-year-old female presents with generalized weakness and vision problems. The weakness is worse at the end of the day, and she has noted double vision. The symptoms worsen with heat. She denies any other neurologic deficits, including paresthesias. What is the likely diagnosis, and what is your next step in evaluation?
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EM Beats by Doge: Serious Headaches
Jonas Pologe is back with the EM Beats by Doge series. Today, Dr. Pologe brings you serious headaches.
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EM@3AM: Multiple Sclerosis
A 33-year-old female presents with blurry vision. She has also experienced intermittent paresthesias in her extremities and weakness. Your motor and sensory exam is normal, but you find internuclear ophthalmoplegia and an afferent pupillary defect. With these intermittent neurologic symptoms and ocular findings, what is the likely diagnosis, and what is your next step in evaluation?
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Diplopia Evaluation and Management
Diplopia can be confusing… How do you define monocular versus binocular? What’s the appropriate evaluation and management?
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The Patient Acutely Can’t Walk: Pearls and Pitfalls
What should you consider with the patient who can’t walk?
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Medical Malpractice Insights: Cryptococcal Meningoencephalitis
This month’s case from Chuck Pilcher looks at a challenging diagnosis in a patient with neurologic symptoms but no known risk factors for a potentially dangerous disease.
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Headaches in the Postpartum Period
Headache may be common in many populations, but what do you need to consider in the postpartum period? This post from Marina Boushra looks at postpartum headaches.
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