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Neurology

General Hospital Medicine   

Questions discussed in this category

Would you consider empiric anticoagulation in patients with an acute stroke for whom you have high suspicion for cardioembolic source, but have not yet confirmed LV thrombus, atrial fibrillation, etc.?
2 Answers available
Do 5HT4 agonists such as Metoclopramide actually lead to improvement in symptoms for patients with diabetes related gastroparesis?
1 Answer available
Which imaging features do you use when considering Normal Pressure Hydrocephalus to decide whether to proceed with large-volume LP or lumbar drain trial?
2 Answers available
In patients presenting with disabling acute ischemic stroke symptoms early in the therapeutic window, would you consider anticoagulation reversal to enable administration of intravenous thrombolytics?
2 Answers available
What medications are preferred and contraindicated for insomnia in patients with a recent stroke or traumatic brain injury?
2 Answers available
How can I incorporate neuromuscular ultrasound into my practice with limited prior experience?
1 Answer available
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

The European respiratory journal, 2020 Apr 21
EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke.
Journal of sleep research, 2023 Jul 05
Improving sleep after stroke: A randomised controlled trial of digital cognitive behavioural therapy for insomnia.
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.
Muscle & nerve, 2012-08
Evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome.
Muscle Nerve, 2024 Mar
Neuromuscular ultrasound: Impact on diagnosis and management.
Muscle & nerve, 2018 Sep 11
Neuromuscular ultrasound in electrically non-localizable ulnar neuropathy.
Neurology, 2014 Aug 27
Sensitivity and specificity of diagnostic ultrasound in the diagnosis of phrenic neuropathy.
Pract Neurol, 2022 Sep 26
Idiopathic normal pressure hydrocephalus: historical context and a contemporary guide.
PloS one, 2020 Apr 24
Diagnostic accuracy of the iNPH Radscale in idiopathic normal pressure hydrocephalus.

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