Neurology

General Hospital Medicine

Questions discussed in this category

How do you decide whether to place an NGT or PEG tube in patients with dysphagia precluding adequate PO nutritional intake?

Do you commonly use prognostic tools such as PRESS to aid in your decision?

1 Answer available

When do you consider using a paramedian approach for a lumbar puncture?

1 Answer available

Do you maintain a strict platelet threshold of >50k when performing a lumbar puncture, or are there situations in which you feel comfortable with a lower threshold?

While many US guidelines have supported a threshold of > 50k, there does not appear to be robust data to support it. Notably, the 2025 AABB and ICT...

1 Answer available

Is there any benefit from oral vs topical steroids in herpes zoster opthalmicus?

Would the management change if there were complications with optic neuritis?

2 Answers available

How would you approach the upfront management of a patient with acute unilateral vision loss with strong clinical risk factors for both cardioembolic stroke and GCA if an expedited MRI is not possible due to the presence of an AICD?

2 Answers available

Under what circumstances do you recommend POCUS guidance for lumbar puncture?

2 Answers available

Papers discussed in this category

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2019-01

Ultrasound-assisted Lumbar Punctures: A Systematic Review and Meta-Analysis.

Neurology. Clinical practice, 2020 Aug

Ultrasound-guided lumbar puncture improves success rate and efficiency in overweight patients.

Cureus, 2020 Nov 18

Feel It, See It, Get It: Is Internal Medicine Residents' Use of Ultrasound in Lumbar Puncture Associated With Higher Success Rate?

European journal of anaesthesiology, 2019 Oct

Ultrasound-assisted vs. landmark-guided paramedian spinal anaesthesia in the elderly: A randomised controlled trial.

Journal of clinical anesthesia, 2022 Apr 11

Ultrasound-assisted spinal anesthesia: A randomized comparison between midline and paramedian approaches.

Neurology

General Hospital Medicine

Questions discussed in this category

Papers discussed in this category

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