RS is a 62-year-old male with a history of type 2 diabetes, hypertension, atrial fibrillation, and metastatic colorectal cancer. He presents to the clinic with complaints of numbness, tingling, and burning pain in both feet that have been gradually worsening over the...
JK is a 77-year-old male who reports a 1-week history of intermittent dizziness and episodes of loss of balance, particularly when walking around. He denies any recent falls, headaches, visual changes, or chest pain. He describes the sensation as...
Do you ever get those questions where you know you are correct but you have to check the literature? I believe I’ve come across this order once or twice in my career: oral lorazepam PRN for a seizure. Can this be done? Here are the details on why this...
In this case scenario, I lay out a situation where cyclobenzaprine causes confusion. A 76-year-old female has a history of pain issues including RA, back pain, and knee pain. She is currently a resident at a long-term care facility. Her medications include: Lisinopril...
In this case scenario, I outline a situation of topiramate-induced cognitive impairment. Topiramate is an anticonvulsant medication that may be used for headache prophylaxis and is known to cause cognitive slowing, manifesting as difficulties in concentration, memory,...
JE is a 75-year-old male with a history of diabetes. He has recently complained of peripheral neuropathy symptoms and his provider has started him on gabapentin 300 mg TID. In this scenario, I’m going to discuss some of the factors to consider when thinking...
