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Debilitating Headache after an Excited Reaction
​BY GREGORY TAYLOR, DO, & MATTHEW WARPINSKI, DOA 35-year-old man with a history of uncontrolled hypertension and medical noncompliance was brought to the emergency department by EMS complaining of a headache. The family said the patient was watching football and developed an acute headache after he stood up screaming in excitement.His family said he had not taken his blood pressure medication for years. He was afebrile, his blood pressure was 245/129 mm Hg, his respiratory rate was 18 bpm, his heart rate was 68 bpm, and he weighed 340 pounds. The patient was obtunded with a Glasgow Coma Scale score of 4 and was subse...
Source: The Case Files - November 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

A Pregnancy Complication to Look out for even after Pregnancy
​BY GREGORY TAYLOR, DO, & SHERIF G. EL-ALAYLI, DOA 30-year-old G5P3 presented to the ED with bilateral lower-extremity edema and headache for three days. She presented one week after an uncomplicated full-term vaginal delivery with an unremarkable pregnancy course and no prior requirement for antihypertensive therapy. The headache was described as achy to sharp, with associated photophobia. She also noted occasional vaginal spotting, which was common a few weeks after delivery. She denied any chest pain, shortness of breath, nausea or vomiting, abdominal pain, or any other symptoms. She admitted to occasional mild cr...
Source: The Case Files - August 28, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Intracerebral Hemorrhage: The 'Other' Stroke
J Mocco, MD, MS Professor and Vice Chair for Education Director, Cerebrovascular Center Residency Program Director Department of Neurological Surgery Mount Sinai Health System Intracerebral Hemorrhage: The 'Other' Stroke A recent patient of mine, 48-year-old "Joe" (not his real name), was eating with his family at an Italian restaurant. Suddenly, he stood up, cursed, and collapsed. They brought him to the hospital, and he could not talk, move, or do anything we asked him to do. It turned out that Joe had suffered the second-most common, but deadliest, form of stroke: intracerebral hemorrhage. When people hear "stroke,...
Source: Healthy Living - The Huffington Post - November 7, 2016 Category: Consumer Health News Source Type: news

Development of Neurology-Specific Scenarios for Assessing Quality Improvement Knowledge Application During Residency Using the Revised Quality Improvement Knowledge Application Tool (QIKAT-R) (P2.377)
Conclusions: The QIKAT-R tool, when used with neurology-specific scenarios, can provide valid assessments of QI knowledge application among neurology residents, and serve as a novel way to introduce residents to the AAN Quality Measures and IOM Aims for high-quality healthcare.Disclosure: Dr. Kassardjian has nothing to disclose. Dr. Leep has received royalty payments from American Association of Neuromuscular and Electrodiagnostic Medicine.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kassardjian, C., Leep Hunderfund, A. Tags: Research Methodology and Education: Patient Safety and Quality Source Type: research

Historical Perspective of Neurology in Iran (P6.333)
Conclusions: Our research on the history of Iranian Neurology indicates that although Iranians had a greater understanding of various neurological disorders in the past, currently their role in worldwide neurologic research and training is less prominent. There are approximately 950 practicing neurologists in Iran and the numbers of physicians with neurology sub-specialty training is gradually increasing. Hence, with raising number of neurology training programs and research centers, a brighter future can be expected for neurology in Iran.Disclosure: Dr. Mohammad Khanli has nothing to disclose. Dr. Mishra has nothing to di...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mohammad Khanli, H., Mishra, S., Trikamji, B. Tags: History of Neurology Source Type: research

The Case Files: Unusual Headache
By Al-Hashimi, Siddhartha DO; Leavens, John MD A 23-year-old woman with a history of migraine headaches presented to the emergency department for a different-than-usual headache. She had a six-day history of intermittent headaches. The onset was at rest, and there was no history of trauma.   The headache was located behind her left eye, and it radiated into the posterior portion of her head. She characterized it as being 8/10 in intensity. Bright lights were reported as an exacerbating factor. The headache was associated with nausea and multiple episodes of emesis. She had 10 episodes of vomiting the evening prior to arri...
Source: The Case Files - June 5, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research