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Metallic Psychosis
A 17-year-old high school girl has been referred from the psychiatry department as a difficult-to-manage case of affective psychosis. She is on chlorpromazine for the past 3 months. Examination reveals resting tremor, rigidity, and dysarthria. Her work-up shows ALT 61 iu/L, total serum bilirubin 2...
 
A Metallic Brain!
A 19-year-old male presents with shaky hands. He has bilateral resting tremor with intentional component as well as dysarthria. His urine is positive for sugar but his random blood sugar never exceeds 100 mg/dl. What is the likely diagnosis this man has
 
Wallenberg Syndrome 1
A famous elderly, retired model presents to the E.R. She had no neurologic defecits prior to this morning, when she awoke to several new symptoms, the most concerning to her of which are changes in the way her face looks, as shown in the image above. She...
 
Peripheral Neuropathy in Heavy Metal Exposure
A patient presents with a history of several months of numbness in his fingers and toes. Prior workup, including folate, B12, homocysteine, MHATP, RPR, and hemoglobin A1C have been unremarkable. The patient states that he used to work for a manufacturing...
 



Online Course Content



Moving Images
Sometimes, a brief movie showing something in motion tells the learner a whole lot more than can be easily expressed in words or in a still image.Some topics are not easily describedConcepts involving movements are hard to express in a still photograph.One option: pantomime...
 
Prion Infections
Infection without inflammation – Prion diseases    A. PathogenesisHuman spongiform encephalopathies are a group of disorders that share certain clinical, pathological, and pathogenetic features. All cause a progressive, fatal, dementing illness; most...
 
Parkinsonian neurodegenerative diseases
In 1817, James Parkinson wrote his Essay on the Shaking Palsy. He described a disorder manifest as involuntary tremulous motion…with a propensity to bend the trunk forward and to pass from a walking to a running pace: the senses and intellects being uninjured...