Dizziness, postural blackouts? – It could be multiple system atrophy.

Dizziness, Postural Hypotension and Postural Blackouts: Two Cases Suggesting Multiple System Atrophy

Background: Dizziness is a non-specific term used by patients to describe a variety of symptoms. The terms dizziness, vertigo, faintness, and blackouts are not synonymous but are often used interchangeably by patients. Postural blackout is a subtype of dizziness and is a result of postural hypotension, a feature of autonomic dysfunction. Case reports: We present detailed case histories of two p...

Could it be Lyme neuroborreliosis?

hoarseness: could be presentation of multiple sclerosis?

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Could it be a secondary hypertension?

• No family history of hypertension in a thin child • Age younger than 10 years and prepubertal stage • Acute rise in blood pressure previously normal • Severe hypertension (SBP/DBP ≥ 99th percentile plus 5 mmHg) • Mild hypertension (SBP/DBP ≥ 95th percentile plus 5 mmHg) in systemic disease • Nocturnal hypertension, reduced nocturnal dipping or diastolic hypertension at 24-hour BP monitoring •...

Chronic heel pain: It could be tuberculosis.

INTRODUCTION Heel pain is a common presentation at a primary care setting. The majority of these cases are benign and self limiting in nature. Common differential diagnoses include plantar fasciitis and peroneal muscle sprains. However, certain conditions-if undetected early-may cause significant morbidity to the patient. A high index of suspicion and early referral for further investigations a...