More on Neurology
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Evaluating drivers
Elderly drivers have the highest rate of traffic fatalities to miles driven. Taken as a whole, however, most elderly people drive safely and responsibly. Further, they have been driving for a long time—most have safely operated motor vehicles for 40 to 50 years. And yet, as the number of older adult drivers increases, distinguishing those who are safe from those who are unsafe will become an increasing public health challenge. More than likely, physicians will be on the front lines of managing this task.
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With new-onset nystagmus in adult, consider MS
Multiple sclerosis (MS) is associated with the development of various forms of nystagmus. The association is so strong that new-onset nystagmus in an adult should be considered MS until proven otherwise.
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Knowledge of neural pathways helps in diagnosis of gaze disorders
Some eye movements are mediated through the temporal lobe for target position; the saccades and pursuits are initiated in the posterior parietal lobe.
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Pharmacologic options for the management of diabetic peripheral neuropathy
Diabetic peripheral neuropathy, one of the most common late complications of diabetes, is associated with decreased quality of life and increased morbidity. The pathophysiology of diabetic neuropathy (DN) is multifactorial, contributing to ischemic and painful events and neuronal damage.
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Delirium: Concisely Condition is associated with increased morbidity, mortality, and length of hospitalization
Delirium is a common neuropsychiatric condition that affects 15% to 70% of elderly medical and surgical patients. It tends to be a transient disorder, although long-term complications are not uncommon. Medical comorbidity is the rule, and predisposing, as well as precipitating, factors are important to consider in its management. Major risk factors for delirium include advanced age, cognitive impairment, and chronic medical illness. Delirium is associated with several adverse outcomes including mortality, increased length of hospital stay, increased risk of dementia, and high rates of institutional placement.
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