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In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the May 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Chronic Neurologic Disease: Parkinson Disease, Myasthenia Gravis, and Multiple Sclerosis
Parkinson’s Disease
- Importance of maintaining medication schedule for Parkinson’s patients
- Strategies for ensuring patients receive their medications promptly
- Overview of Carbidopa Levodopa’s mechanism of action
Myasthenia Gravis
- Description of the disease mechanism
- Importance of assessing respiratory function
- Diagnostic alternatives like the negative inspiratory force test and counting test
- Discussion on appropriate emergency department actions and treatments including steroids, plasmapheresis, and IVIG
Multiple Sclerosis
- Description of the disease mechanism
- Description of the typical patient demographic
- Discussion on the varied presentation of MS
- Treatment strategies including high-dose steroids and Baclofen
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Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…