A long-time patient, who is a 56-year-old male, arrives for his annual exam complaining of excessive thirst, frequent urination, unplanned weight gain, and fatigue. His blood pressure, which was borderline hypertensive last year, is now 160/95. He reports no change in diet, job responsibilities, or family life. This year, you have added another screening to the standard vital signs.
Just when you, the emergency physician, think you have the guidelines for treatment of acute coronary syndrome (ACS) figured out, the AHA/ACC releases new revisions and updates.
Brain biopsy is necessary to make the diagnosis of small-vessel primary angiitis of the central nervous system in children, prior to treatment with steroids and immunosuppressant medications.
Many patients who are shunted for normal pressure hydrocephalus have Alzheimer's pathology, and many go on to develop Alzheimer's disease.
The authors report a small, retrospective case series using low-dose intravenous lacosamide in the successful, adjunctive treatment of nonconvulsive status epilepticus.
