journal
MENU ▼
Read by QxMD icon Read
search

Continuum: Lifelong Learning in Neurology

journal
https://www.readbyqxmd.com/read/30273255/learning-objectives-and-core-competencies
#1
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273251/legal-and-ethical-considerations-of-disclosing-human-immunodeficiency-virus-seropositivity-to-a-surrogate-decision-maker
#2
Rachel V Rose, Joseph S Kass
Ethical and legal issues arise when a patient who is human immunodeficiency virus (HIV) positive lacks decision-making capacity and the HIV status must be disclosed to a surrogate decision maker to allow for informed medical decision making. This article discusses the special exceptions to confidentiality built into the Health Insurance Portability and Accountability Act privacy protections, the limitations on claims of common-law marriage, and public health laws that often require informing individuals who are either sex partners or needle-sharing partners of newly diagnosed HIV-infected individuals that they have been exposed to HIV infection...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273250/zika-virus-and-other-emerging-arboviral-central-nervous-system-infections
#3
James J Sejvar
PURPOSE OF REVIEW: In recent years, we have observed the emergence and reemergence of a number of arthropod-borne viruses (arboviruses). Zika virus is the most recent addition to this group, first causing sporadic cases of uncomplicated febrile illness followed by sizeable outbreaks in the Pacific. However, the epidemiology and clinical features of Zika virus infection have changed rapidly and dramatically; it is now recognized as causing Guillain-Barré syndrome (GBS) in children and adults and congenital abnormalities in infected fetuses...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273249/helminthic-infections-of-the-central-nervous-system
#4
Tracey A Cho
PURPOSE OF REVIEW: This article discusses select helminthic parasitic infections that may affect the central nervous system and reviews the epidemiology, neurologic presentation, recommended diagnostic testing, and treatment approach to these infections. RECENT FINDINGS: Emigration from and travel to areas endemic for helminthic infections that affect the nervous system has led to increased incidence of parasitic neurologic disease in developed countries, necessitating that neurologists be familiar with the diagnostic and therapeutic approach to these diseases...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273248/tetanus-botulism-and-diphtheria
#5
Aaron L Berkowitz
PURPOSE OF REVIEW: This article reviews the pathophysiology, epidemiology, clinical manifestations, diagnosis, and treatment of tetanus, botulism, and diphtheric neuropathy. RECENT FINDINGS: Tetanus is most common in lower-income settings, but rare cases are seen in higher-income settings because of the inadequate maintenance of vaccination status. Foodborne botulism remains rare, but botulism can also be caused by IV drug use (wound botulism) and medical use of botulinum toxin (iatrogenic botulism); botulinum toxin has also been considered a potential agent of bioterrorism...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273247/neuroborreliosis-and-neurosyphilis
#6
John J Halperin
PURPOSE OF REVIEW: This article presents an overview of the current diagnosis and management of two spirochetal infections of the nervous system, neuroborreliosis (Lyme disease) and neurosyphilis, focusing on similarities and differences. Although neuroborreliosis was first identified almost a century ago, much confusion remains about how to accurately diagnose this quite treatable nervous system infection. Well-established diagnostic tools and therapeutic regimens exist for neurosyphilis, which has been well-known for centuries...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273246/tuberculosis-of-the-central-nervous-system
#7
Joseph R Zunt
PURPOSE OF REVIEW: This article details the epidemiology and clinical manifestations of central nervous system (CNS) tuberculosis (TB), provides guidance for diagnostic imaging and CSF testing, and recommends treatment strategies for tuberculous meningitis and other forms of CNS TB, illustrating key aspects of diagnosis and management with case presentations. RECENT FINDINGS: Although improvements in our understanding of the pathogenesis and management of CNS TB have occurred over the past 50 years, the emergence of multidrug-resistant and extensively drug-resistant TB, the advent of acquired immunodeficiency syndrome (AIDS), and the subsequent availability of highly active antiretroviral therapy that can produce the immune reconstitution inflammatory syndrome have complicated the diagnosis and treatment of CNS TB...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273245/neurologic-complications-of-human-immunodeficiency-virus-infection
#8
Deanna Saylor
PURPOSE OF REVIEW: Widespread use of antiretroviral therapy (ART) has led to near-normal life expectancy in people with human immunodeficiency virus (HIV) infection. However, neurologic complications of HIV remain common; can affect any part of the neuraxis; and are due to direct effects of the virus, immunosuppression because of untreated HIV infection, aberrant immune responses in the setting of ART initiation, and ART toxicities. RECENT FINDINGS: HIV-associated neurocognitive disorder (HAND) remains one of the most common neurologic complications of HIV encountered today, but milder forms predominate in people on ART...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273244/central-nervous-system-infections-complicating-immunosuppression-and-transplantation
#9
Amy A Pruitt
PURPOSE OF REVIEW: This article reviews infections associated with cancer treatments and immunosuppressive/immunomodulatory therapies used in both neoplastic and non-neoplastic conditions, including hematopoietic cell transplantation and solid organ transplantation. It provides a clinical approach to the most commonly affected patient groups based on clinicoanatomic presentation and disease-specific risks resulting from immune deficits and drugs received. RECENT FINDINGS: The clinical presentations, associated neuroimaging findings, and CSF abnormalities of patients with central nervous system infections who are immunocompromised may differ from those of patients with central nervous system infections who are immunocompetent and may be confused with noninfectious processes...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273243/herpesvirus-infections-of-the-nervous-system
#10
Kelly J Baldwin, Christopher L Cummings
PURPOSE OF REVIEW: This article reviews the spectrum of neurologic disease associated with human herpesvirus infections. RECENT FINDINGS: As more patients are becoming therapeutically immunosuppressed, human herpesvirus infections are increasingly common. Historically, infections with human herpesviruses were described as temporal lobe encephalitis caused by herpes simplex virus type 1 or type 2. More recently, however, additional pathogens, such as varicella-zoster virus, Epstein-Barr virus, cytomegalovirus, and human herpesvirus 6 have been identified to cause serious neurologic infections...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273242/brain-and-spinal-epidural-abscess
#11
Felicia Chow
PURPOSE OF REVIEW: Brain abscesses and spinal epidural abscesses are serious, potentially life-threatening infections of the central nervous system. This article outlines the clinical presentation, evaluation, and management of brain abscesses and spinal epidural abscesses, with a specific focus on bacterial infections. RECENT FINDINGS: The overall incidence of brain abscesses has declined, in part because of fewer brain abscesses associated with otogenic infections...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273241/chronic-meningitis
#12
Kiran T Thakur, Michael R Wilson
PURPOSE OF REVIEW: This article describes the clinical presentation, diagnostic approach (including the use of novel diagnostic platforms), and treatment of select infectious and noninfectious etiologies of chronic meningitis. RECENT FINDINGS: Identification of the etiology of chronic meningitis remains challenging, with no cause identified in at least one-third of cases. Often, several serologic, CSF, and neuroimaging studies are indicated, although novel diagnostic platforms including metagenomic deep sequencing may hold promise for identifying organisms...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273240/viral-meningitis-and-encephalitis
#13
Jennifer L Lyons
PURPOSE OF REVIEW: This article discusses meningitis and encephalitis infections caused by viruses, excluding herpes family and human immunodeficiency virus (HIV). RECENT FINDINGS: The viral infections of the nervous system detailed in this article have no specific treatment other than supportive care. However, many of the viruses discussed are highly preventable by vaccination, proper skin protection against transmitting vectors, and postexposure prophylaxis. SUMMARY: While meningitis and encephalitis caused by viruses may have some clinical overlap, the management and outcomes can be highly disparate, making distinction between the two imperative...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273239/acute-bacterial-meningitis
#14
Larry E Davis
PURPOSE OF REVIEW: While acute bacterial meningitis is becoming less common in developed countries because of the widespread use of vaccines against Streptococcus pneumoniae, Neisseria meningitides, and Haemophilus influenzae, bacterial meningitis still occurs worldwide, with peak incidence in young children and the elderly. Bacterial meningitis is usually lethal unless appropriate antibiotics that cross the blood-brain barrier are given. Clinical suspicion of bacterial meningitis begins when patients present with the abrupt onset of fever, headache, and meningismus...
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30273238/neuroinfectious-disease-in-isolation
#15
Steven L Lewis
No abstract text is available yet for this article.
October 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074561/erratum
#16
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074557/common-legal-considerations-when-moving-to-a-new-medical-practice
#17
Joseph S Kass, Rachel V Rose
This article presents a hypothetical case of the legal issues a physician must consider when moving to a new medical practice, such as the enforceability of a noncompete clause, malpractice insurance, communicating this change in practice to existing patients, and custody of medical records.
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074556/unusual-headache-disorders
#18
Amaal Jilani Starling
PURPOSE OF REVIEW: Unusual headache disorders are less commonly discussed and may be misdiagnosed. These headache disorders frequently have a benign natural history; however, without reassurance, therapeutic education, and treatment, they can negatively affect the health and function of patients. RECENT FINDINGS: This article reviews the clinical features, diagnosis, workup, and proposed treatments for several unusual headache disorders including primary cough headache, primary headache associated with sexual activity, primary exercise headache, cold-stimulus headache, primary stabbing headache, nummular headache, hypnic headache, and headache attributed to travel in space...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074555/secondary-headache-syndromes
#19
Denise E Chou
PURPOSE OF REVIEW: This article is intended to assist clinicians in distinguishing benign primary headache syndromes from serious headache presentations that arise from exogenous causes. RECENT FINDINGS: Although most cases of severe headache are benign, it is essential to recognize the signs and symptoms of potentially life-threatening conditions. Patients with primary headache disorders can also acquire secondary conditions that may present as a change in their baseline headache patterns and characteristics...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074554/cranial-neuralgias
#20
Stewart J Tepper
PURPOSE OF REVIEW: This article describes the clinical features and diagnostic criteria, pathophysiology (when known), and treatment strategies of the major cranial neuralgias. RECENT FINDINGS: Abnormal vascular loops compressing cranial nerves are the most common known pathogenesis associated with the primary neuralgias. SUMMARY: The most frequently encountered primary neuralgias are trigeminal neuralgia, occipital neuralgia, and, rarely, glossopharyngeal neuralgia...
August 2018: Continuum: Lifelong Learning in Neurology
journal
journal
32306
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"