We will all have the experience of taking care of a patient in the emergency department who is acting…different than they normally do. Sometimes, the change can be subtle, maybe a family member will be the first to notice and bring the patient to be evaluated. Sometimes the patient makes the change abundantly clear. In either case it is essential to identify the underlying cause and treat any emergent conditions precipitating this dysfunction of the brain. This month we hear from Dr. Erin McDonough on her approach to the patient with altered mental status (AMS).Read More
September Morbidity and Mortality Conference - Dr. Toth
Cases reviewed were from the month of August. We saw greater volume in 2015 than 2014 with longer ED hold times. We reviewed multiple cases including:
Acute Inflamatory Demyelinating Polyneuropathy
- Pain is a common presentation, and cranial nerve palsies are not infrequent, but they usually follow weakness and numbness of the extremeties.
- The diagnosis is in large part clinical, with progressive areflexia and sensory loss being the hallmarks. CSF studies showing albuminocytologic dissociation is confirmatory.