Neurology

What should you do with the critically ill patient with meningitis?

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?

Jonas Pologe is back with the EM Beats by Doge series. Today, Dr. Pologe brings you serious headaches.

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?

Diplopia can be confusing… How do you define monocular versus binocular? What’s the appropriate evaluation and management?

What should you consider with the patient who can’t walk?

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.

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.

Which patients need what type of scanning? Where should that scanning be done – at the stroke center or at the peripheral center? Which patients should get systemic thrombolytics? Which patients should get endovascular therapy? In this EM Cases main episode podcast, a follow up to our episode on TIA released in November 2018 with Walter Himmel and David Dushenski, we try to simplify the confusing time-based and brain tissue-based options for stroke management…

Breakdowns in communication can cause all sorts of problems. This month’s Medical Malpractice Insights looks at a case of failure to communicate.