June 7th 2021
The FDA approved today the first drug that targets the pathophysiolgic process responsible for Alzheimer disease and the first drug since 2003 to be approved for any Alzheimer treatment.
April 2nd 2021
Healthcare providers are advised to weigh carefully the risks vs benefits of continuing lamotrigine therapy and not to substitute with another drug from the class.
March 12th 2021
Gradually worsening weakness in the shoulders, neck, and face of 4-5 days' duration is the presenting complaint of a man in his 60s. ED physician Brady Pregerson, MD, asks, "What's your diagnosis?"
June 21st 2016
In this Medical News Minute, Dr Bobby Lazzara looks at the impact of PPI use on incident dementia in the elderly.
April 15th 2016
"Keep calm and carry on" suggests a thoughtful gastroenterologist whose patients continue to ask for reassurance.
Migraine Matters: 6 Meeting Highlights
This brief slide show toplines key research from the 58th Annual Scientific Meeting of the American Headache Society, June 1-4, 2016.
More Headache, Less Migraine With Dementia
An association was found between headache or non-migrainous headache and later dementia. Not so for migraine.
Senses in Primary Care Top 10: The Eyes Have It
Diseases of the nervous system and sense organs-particularly eye and ear disorders-are prime diagnoses that bring patients to your primary care practice.
Insomnia and Autism Fuel a Vicious Cycle
Insomnia is the predominant sleep disorder seen in autism spectrum disorder. The deficits of each condition compound those of the other.
Progressive Ataxia in a 68-year-old Man
The patient denies vertigo, hearing change, headache or ear pain. Physical exam and past medical history are benign. What does the brain MRI tell you?
Cerebello-pontine Angle Tumor
Signs and symptoms may raise suspicion for a posterior circulation stroke.
Stroke Rounds: Depression Doubles Stroke Risk After 50
New research suggests that depression and stroke share common cumulative etiologic mechanisms.
6 New Things About the Burden of Stroke
Heart scans to ID stroke risk, insomnia reduces quality of life, air pollution may be a cause, women think of stroke as a man’s disease-see these and other developments in stroke science and patient care.
Top 10 Reasons Why Patients Come to Primary Care
What brings patients to your office-and not the specialty office down the street? Insights in this slideshow.
The Skinny on Dementia and Being Skinny
Underweight means highest risk, say researchers.
Beer Brews Up Good Medicine for the Brain
This adult beverage may actually provide health benefits, specifically for Alzheimer, Parkinson, and other neurological conditions.
Asymptomatic Neck Mass
Thyroglossal duct cyst; HCV-HIV coinfection; slurred speech and trouble swallowing and chewing . . . see how well you do on the quiz questions this week.
Loss of Consciousness: Your Dx?
A 50-year-old man comes to the ED after 2 episodes of loss of consciousness and vomiting. Jaw clenching with a short period of unresponsiveness is observed in the ED. ECG is significant for bradycardia and sinus bradycardia. He had sprayed his home for termites 10 hours earlier. What is the problem here?
Pain Is Here, There, and Everywhere: A Photo Essay
Chronic pain and psychological interventions, complex regional pain syndrome, spinal fractures and low back pain, acute gouty arthritis, Chiari I malformation, Dengue fever, erythema nodosum-a look at pain in its many shapes, sizes, and locations.
Discolored, Tender Spots on Face and Ear
Discoid lupus erythematosus; pharmacologic options for “statin-intolerant” patients; treatment of diabetic peripheral neuropathic pain . . . questions on these and other topics in this quiz.
Hyponatremic Encephalopathy Induced by “Ecstasy”
Ecstasy ingestion should be high on the list of differential diagnoses for young patients who present with acute, unexplained encephalopathy.
Löfgren Syndrome: Do You Know the Signs & Symptoms?
Test yourself on symptoms of Löfgren syndrome, comorbdities of Down syndrome; complications of diabetes, and more in this week’s quiz.
Melanoma-or Something Else?
This week’s quiz questions challenge you to determine the cause of an infant’s “strange breathing” based on a chest film, to come up with the most common cause of chronic cough in children, to be a dermatologic detective, among other things.
Neurological Nemeses: A Photo Essay
Neurofibromatosis, neuroretinitis, neurologic complications of Down syndrome, Lhermitte-Duclos disease, neurosarcoidosis-find insights here for defeating nervous system disorders.
Polycystic Ovary Syndrome: What Derm-Associated Condition?
PCOS; Charles Bonnet syndrome; amyotrophic lateral sclerosis ... questions about these 3 conditions and 2 others: see how accurately you can answer this week’s quiz questions.
Exercise May Boost Motor Function Recovery in Stroke
Aerobic exercise not only improves cardiorespiratory fitness in patients with stroke but also may have a beneficial effect on neuroplasticity and improve motor recovery.
Self-management Lifts Cognitive Function in Epilepsy
The results of a new study indicate that a simple self-management intervention may improve patients’ cognitive performance.
New Epilepsy, Sleep Apnea Tool: Don’t Get Caught Napping
Screening for and then treating obstructive sleep apnea may help improve seizure control in epilepsy, a new study shows.
Carotid Stenosis Tied to Cognitive Decline as Well as Stroke
Patients who have blockages in the carotid arteries are at risk not only for stroke but possibly for cognitive impairment as well.
New Drug Class Shows Promise in Migraine Prevention
Studies of the first specific mechanism-based treatments may harken a new era of prevention.
Cerebrospinal Fluid Marks Brain Damage With Cardiac Arrest
Measuring cerebrospinal fluid biomarkers may help determine the amount of a patient’s brain damage and complement clinical assessments.
Genetic Test Reveals High, or Low, Pain Perception
The test may identify which patients have a high or a low predisposition for pain perception, according to the results of a new study.
Mild Cognitive Impairment Raises Risk of Death
The death rate appears to be higher in these persons than in those who are cognitively normal.
Marijuana Treats Some Multiple Sclerosis Symptoms
Oral and spray forms of medical marijuana can help treat some symptoms, according to a systematic review from the American Academy of Neurology.
Back to Basics: A Spine Disorder Photo Quiz
Back and neck complaints rank among the top reasons for visits to primary care physicians. Take this week’s photo quiz to test your knowledge of these sometimes mysterious disorders.
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