[PDF] Top 20 La promoción del desarrollo económico desde los municipios en la República Dominicana.
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Clinical Reasoning: A case of slowly progressive painful paraparesis
... Myelopathies have distinct clinical and radiologic features and prognoses. High-resolution MRI re- vealed a typical appearance of transdural spinal cord herniation (SCH) at the T5–T6 level, with reduced sagittal ... See full document
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Promoting student case creation to enhance instruction of clinical reasoning skills: a pilot feasibility study
... perceived clinical reasoning skills, quality of student–faculty interaction, and interaction with fellow ...a clinical case around a specified diagnosis using “case creation” as a ... See full document
10
Clinical Reasoning: A unique case of acute onset, progressive left hemiparesis
... The available case reports of MTX toxicity mim- icking acute stroke almost invariably involve pediat- ric patients. This is likely related to the underlying pathophysiology as well as the frequent use of MTX in ... See full document
6
Clinical Reasoning: A case of progressive cognitive decline reversed by middle cerebral artery stent placement
... In clinical settings, the relationship between chronic cerebral hypoperfusion and cognitive function is often difficult to confirm as factors such as aging, systemic disease, or educational background can ... See full document
5
Clinical Reasoning: A case of treatable spastic paraparesis
... A 36-year-old man was referred for progressive lower extremity spasticity. He had a 4-year history of grad- ually progressive leg stiffness and ankle clonus and a 1-year history of gait disturbance and ... See full document
5
Clinical Reasoning: Siblings with progressive weakness, hypotonia, nystagmus, and hearing loss
... Case 1’s younger sister was born at full term after an uncomplicated pregnancy and delivery. Her HC at birth is unknown, but at 1.5 months of age was less than 2nd percentile (32.50 cm), and her length was less ... See full document
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Clinical Reasoning: A man with rapidly progressive weakness and respiratory failure
... Prior case reports have described both flaccid and spastic paralysis in adults with POWV. 6–8 Around 10% of infections are fatal, with over 50% of patients having permanent neu- rologic deficits, including ... See full document
5
Clinical Reasoning: A 15-month-old boy with progressive lethargy and spasticity
... (NLM). Clinical presentation of NLM and progression of illness is similar in adult and pediatric patients, with acute and rapidly progressing meningoencephalitis, which can be ... See full document
5
Clinical Reasoning: A patient with rapidly progressive sensory loss and imbalance
... The treatments appear to be equally effective in stud- ies performed over time. The initial dose of IVIg is typically 2 g/kg infused over 4 to 5 days, as was the case with this patient. Pulse IV methylprednisolone ... See full document
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Clinical Reasoning: Progressive visuospatial problems in a 71-year-old man
... Although in some cases steroids have been used, clinical and radiologic features of methotrexate toxicity can fully resolve simply following drug withdrawal. In our patient, we discontinued methotrexate ... See full document
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Clinical Reasoning: A 71-year-old man with rapidly progressive dementia
... There was a high risk of anchoring bias in our case, such as when the preliminary pathologic diagnosis suggested demyelination and later hinted towards CNS Whipple disease. Anchoring bias is a common human ... See full document
7
Clinical Reasoning: Rapidly progressive quadriparesis in a forgetful patient
... features in ALS. Frontotemporal atrophy on MRI sup- ported the diagnosis of FTD. Another neurodegen- erative condition that can present with spasticity and dementia is corticobasal degeneration, where SSEPs are typically ... See full document
6
Clinical Reasoning: A 64-year-old woman with progressive quadriparesis
... In this case, both CT and MRI were performed. Head CT was unremarkable. Brain MRI showed scat- tered T2 hyperintensities bilaterally. Spine MRI showed contrast enhancement in the cervical cord from C2 to C5 with ... See full document
24
Clinical Reasoning: A young woman with progressive headache and pancytopenia
... a case of CVST in a woman with APS in the unusual setting of therapeutic antico- agulation and ...Her case was particularly challenging given her concurrent hypercoagulable state and thrombocytopenia, which ... See full document
10
Clinical Reasoning: A patient with multiple cranial nerve palsies and areflexic paraparesis
... The patient had bilateral optic nerve and seventh nerve involvement, with bilateral external ophthalmoplegia, but lacking any long tract sign. Visual disturbance with external oph- thalmoplegia involving multiple cranial ... See full document
8
Clinical Reasoning: A 47-year-old man with progressive gait disturbance and stiffness in his legs
... This case argues for the inclusion of AMN in the differential for any progressive spastic paraparesis syn- drome regardless of the brain or spinal MRI ...spastic paraparesis in which the ... See full document
6
Young adult-onset, very slowly progressive cognitive decline with spastic paraparesis in Alzheimer’s disease with cotton wool plaques due to a novel presenilin1 G417S mutation
... The clinical heterogeneity of this variant remains ...autopsy case of CWP-AD with a novel PSEN1 mutation that showed slowly progres- sive cognitive and motor disturbances from the mid-20s with a very ... See full document
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Clinical Reasoning: A 56-year-old man with progressive spasticity
... AMN that manifests most commonly in the second decade or later as slowly progressive paraparesis, sphinc- ter and erectile dysfunction, and often accompanied by impaired adrenocortical function. The ... See full document
16
Clinical Reasoning: A 49-year-old woman with progressive motor deficit
... Motor neuron disease (MND) was considered ini- tially. The insidious course, with signs and symptoms compatible with UMN and LMN dysfunction present in one body segment and followed by spread to other segments over ... See full document
8
Chronic HCV infection: epidemiological and clinical relevance
... syringes in medical practice. During the last 10 years, the rate of transfusion-associated hepatitis C has significantly dropped as a consequence of the introduction of increas- ing restrictions on donor eligibility and ... See full document
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