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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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Advances in managing epilepsy
Even with newer medications and surgical options, the goal of optimal patient management remains the same: seizure free without side effects.
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Natalizumab: FDA is concerned-should managed care be, too?
FDA officials said the agency "remains very concerned" that
patients who take natalizumab may
develop a rare, potentially fatal brain infection called
progressive multifocal leukoencephalopathy (PML). So starts a
report from Reuters published on February 15, 2006. Should managed
care also be concerned?
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The 15-minute Visit:
Restless legs syndrome
A 42-year-old woman presents to the clinic complaining of fatigue for the past month. She denies heart palpitations, shortness of breath, pain, or changes in appetite or weight. Further questioning reveals that she has trouble sleeping; she often tosses and turns in bed. She also describes a crawling sensation in both legs, which only occurs in the evenings and improves with activity. The patient is happily married and works as a librarian. She has been smoking 1 pack of cigarettes per day for the past 20 years. She denies alcohol or drug use and does not take any medications.
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