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Hospital Medicine

Dysphagia and odynophagia

Dysphagia and odynophagia I. Problem/Condition. Dysphagia is the sensation of having difficulty swallowing. This can range from difficulty with deglutition (the coordinated, active process of passing food and liquids from the oral cavity into the oropharynx and below) to the passive passage of contents from the oropharynx through the esophagus and into the stomach. Odynophagia,…
Pediatrics

Dopa-responsive dystonia

OVERVIEW: What every practitioner needs to know Are you sure your patient has DOPA-responsive dystonia? What are the typical findings for this disease? Dystonia is the simultaneous sustained contraction of agonist and antagonist muscles. Affected limbs can take distorted or painful postures. A balanced contracture produces a fixed posture, whereas one that is unbalanced causes…
Schizophrenia and Psychoses

Old Challenges and New Directions in Managing Tardive Dyskinesia

"Since the current generation of psychiatrists has been raised on second-generation antipsychotics and has relatively little experience with first-generation antipsychotics, keeping tardive dyskinesia in mind is not, on the whole, part of their experience or training," said Christoph U. Correll, MD.
Dermatology

Lipoid Proteinosis (Urbach-Wiethe disease, hyalinosis cutis et mucosae, lipoid proteinosis cutis et mucosae, lipoglycoproteinosis)

Are You Confident of the Diagnosis? Lipoid proteinosis (LP) is an autosomal recessive hereditary disease that equally affects males and females. LP is characterized by the deposition of hyaline material in the skin, mucosa, and viscera. Laryngeal infiltration may result in a hoarse cry. Skin and mucous membrane changes become apparent clinically, and the disease…
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