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Continuum: Lifelong Learning in Neurology

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https://www.readbyqxmd.com/read/28570340/patient-management-problem-preferred-responses
#1
Sara E Hocker
No abstract text is available yet for this article.
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570339/patient-management-problem
#2
Sara E Hocker
No abstract text is available yet for this article.
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570335/coding-for-medication-related-poisoning-and-adverse-effects
#3
Melissa Yu
Accurate coding is important for proper reimbursement and documentation of care provided. This article provides an overview of coding considerations for patient encounters associated with medication use, abuse, or poisoning.
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570334/safety-considerations-during-transitions-of-care-from-inpatient-to-outpatient-settings
#4
Marcus Ponce de Leon, Anna D Hohler
Hospital admissions are times of intense change. New medications are started, treatment regimens are modified, and care plans that will continue in the outpatient setting are initiated. After discharge, most patients receive care from different providers than those seen in the hospital. This situation will increase as inpatient-based practice patterns, such as neurohospitalist practices, become more prevalent. Communication failures during the transition from hospital to clinic increase the risk of adverse events...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570333/response-to-medical-errors
#5
Adam Webb
Despite improvements in patient safety science over the past 15 years since the Institute of Medicine's publication of To Err Is Human, medical errors remain a major contributor to adverse patient outcomes and mortality. In the aftermath of a harmful medical error, providers often face dilemmas regarding how to best report and disclose errors.
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570332/environmental-neurologic-injuries
#6
Rodolfo Savica
PURPOSE OF REVIEW: This article discusses neurologic complications resulting from environmental injuries and the treatment modalities for these conditions. RECENT FINDINGS: Recent advances include improved management of altitude sickness. Relatively uncommon conditions, such as keraunoparalysis (lightning-induced paralysis) and high-pressure neurologic syndrome, are areas of ongoing study. SUMMARY: Environmental injuries may be associated with serious neurologic sequelae...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570331/nutrients-and-neurology
#7
Neeraj Kumar
PURPOSE OF REVIEW: This article provides an update on the clinical presentation and management of neurologic disease related to key nutrient deficiencies. RECENT FINDINGS: Major advances have been made in understanding the pathway related to vitamin B12 absorption and distribution. It is now known that deficiencies of vitamin B12 and copper have similar neurologic manifestations. Bariatric surgery is a risk factor for both. Alcoholism is just one of the many causes of thiamine deficiency...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570330/neurologic-complications-of-transplantation
#8
Amy A Pruitt
PURPOSE OF REVIEW: This article describes the diagnosis and management of neurologic problems during hematopoietic cell and solid organ transplantation using time elapsed since transplantation as a guide to expected complications, including drug toxicities, infections, strokes, autoimmune phenomena, disease recurrence, and secondary neoplasms. RECENT FINDINGS: Growing clinical experience in the neurology of transplantation has led to appreciation of the diverse clinical and radiographic spectrum of calcineurin inhibitor-related posterior reversible encephalopathy syndrome (PRES) and progressive multifocal leukoencephalopathy...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570329/endocrine-emergencies-with-neurologic-manifestations
#9
Makoto Ishii
PURPOSE OF REVIEW: This article provides an overview of endocrine emergencies with potentially devastating neurologic manifestations that may be fatal if left untreated. Pituitary apoplexy, adrenal crisis, myxedema coma, thyroid storm, acute hypercalcemia and hypocalcemia, hyperglycemic emergencies (diabetic ketoacidosis and hyperglycemic hyperosmolar state), and acute hypoglycemia are discussed, with an emphasis on identifying the signs and symptoms as well as diagnosing and managing these clinical entities...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570328/liver-disease-and-neurology
#10
Robert N Schwendimann, Alireza Minagar
PURPOSE OF REVIEW: Neurologists often encounter patients with acute and chronic liver disease and must be aware of how these diseases can affect the nervous system. This is particularly true when evaluating patients with alterations in cognition and level of consciousness. Wilson disease, while uncommon, is a treatable condition with many neurologic and psychiatric symptoms. Neurologic disorders associated with liver disease may affect not only the brain, but also the spinal cord and peripheral nervous system...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570327/gastroenterology-and-neurology
#11
Ronald F Pfeiffer
PURPOSE OF REVIEW: Just as gastrointestinal dysfunction may develop in the setting of neurologic disease, neurologic dysfunction may become evident in the setting of gastrointestinal disease. This article describes the range of neurologic features that have been described in three primary gastrointestinal diseases: celiac disease and gluten-related disorders, inflammatory bowel disease, and Whipple disease. Particular emphasis is placed on the controversial and evolving clinical picture of neurologic dysfunction in disorders of gluten sensitivity...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570326/renal-disease-and-neurology
#12
Sara E Hocker
PURPOSE OF REVIEW: Neurologic dysfunction is prevalent in patients with acute and chronic renal disease and may affect the central nervous system, peripheral nervous system, or both. Neurologic manifestations may result directly from the uremic state or as a consequence of renal replacement therapy. Early recognition of neurologic dysfunction may provide opportunities for intervention and reduced morbidity. RECENT FINDINGS: Advances in the understanding of neurologic complications of renal disease and its treatments have led to more widespread recognition and earlier identification of encephalopathy syndromes such as cefepime neurotoxicity and posterior reversible encephalopathy syndrome (PRES), dramatic reductions in the incidence of dialysis disequilibrium syndrome and dialysis dementia, and improved survival in disorders such as von Hippel-Lindau disease and thrombotic thrombocytopenic purpura...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570325/rheumatology-and-neurology
#13
Elliot L Dimberg
PURPOSE OF REVIEW: This article reviews the various rheumatologic disorders that have neurologic complications and manifestations. RECENT FINDINGS: Recent advances have improved the understanding of the true epidemiology of many rheumatologic diseases and their complications. Many years of observation have clarified findings even in rarer disorders. Classification and diagnostic criteria have been updated and validated. As newer pharmacologic agents have become available, new information regarding efficacy and toxicity has emerged...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570324/neurologic-complications-of-lymphoma-leukemia-and-paraproteinemias
#14
Michelle L Mauermann
PURPOSE OF REVIEW: This article reviews the spectrum of neurologic complications associated with lymphoma, leukemia, and paraproteinemic disorders. While leptomeningeal metastasis is the most common complication of lymphoma and leukemia and peripheral neuropathy is the most common complication of paraproteinemic disorders, clinicians need to be familiar with the diverse neurologic complications of these disorders. RECENT FINDINGS: Lymphomatous nervous system involvement can be difficult to diagnose, especially when it is the presenting symptom...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570323/neurologic-complications-of-cardiac-and-aortic-disease
#15
James P Klaas
PURPOSE OF REVIEW: This article discusses neurologic complications that can arise from cardiac and aortic disease and dysfunction. RECENT FINDINGS: Advances in the care of patients with cardiac or aortic disease include the use of prolonged cardiac monitoring in cryptogenic stroke and the approval of the use of left atrial appendage closure devices for stroke prevention in patients with atrial fibrillation who are not candidates for anticoagulation. Continuing controversy surrounds patent foramen ovale closure, and new evidence indicates that cognitive impairment following coronary artery bypass grafting surgery may be less common than previously thought...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570322/autoimmune-neurology-of-the-central-nervous-system
#16
W Oliver Tobin, Sean J Pittock
PURPOSE OF REVIEW: This article reviews the rapidly evolving spectrum of autoimmune neurologic disorders with a focus on those that involve the central nervous system, providing an understanding of how to approach the diagnostic workup of patients presenting with central nervous system symptoms or signs that could be immune mediated, either paraneoplastic or idiopathic, to guide therapeutic decision making. RECENT FINDINGS: The past decade has seen a dramatic increase in the discovery of novel neural antibodies and their targets...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28570321/he-ain-t-heavy-he-s-my-continuum-issue
#17
Steven L Lewis
No abstract text is available yet for this article.
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28375925/patient-management-problem-preferred-responses
#18
Joseph E Safdieh
No abstract text is available yet for this article.
April 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28375924/patient-management-problem
#19
Joseph E Safdieh
No abstract text is available yet for this article.
April 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28375920/use-of-the-electronic-health-record-for-coding-in-outpatient-neurology
#20
Allison L Weathers
Diagnostic coding now factors into reimbursement, quality assessments, reputational metrics, and epidemiologic analysis; therefore, it is more critical than ever that neurologists are accurate and precise in their coding. In addition to being the means though which most neurologists are capturing this information, the electronic health record can offer multiple tools to assist in these efforts. With conscientious design, build, and implementation of the electronic health record, diagnostic coding can be effortless, even for the most complex and varied of conditions seen in an outpatient neurology visit...
April 2017: Continuum: Lifelong Learning in Neurology
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