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Audiogram showing a low-frequency trough pattern of sensorineural hearing loss, commonly seen in Meniere disease. The left ear is shown. (Courtesy of James Lanska.)
Jan. 05, 2020
Jun. 17, 2021
The clinical examination of a patient with severe brain injury is similar to the evaluation of a comatose patient. Predictors of outcome include the Glasgow Coma Scale and Injury Severity Scores and aspects of the neurologic exam of the comatose patient. Complications include all sequelae of prolonged coma and recumbency, and systemic trauma, including systemic infection, deep venous thrombosis, electrolyte abnormalities, fat embolism syndrome, stress ulceration, and anemia.
Aug. 22, 2021
Headache & Pain
Feb. 21, 2021
Jan. 17, 2021
Weakness in distal myopathies may start in the hands (Welander myopathy), the posterior compartment of the lower legs (Miyoshi and Miyoshi-like myopathies), or the anterior compartment of the legs (most distal myopathies) with resultant foot drop, depending on the underlying genetic abnormality. Involvement of the proximal, bulbar, and respiratory muscles may occur as the disease progresses. Distal myopathies represent 10% of all muscular dystrophies.
May. 21, 2021
Feb. 11, 2021