Primary bradycardia: keys and pitfalls in diagnosis

Parkinson Disease in Primary Practice: Keys to Diagnosis and Management

More than 1 million Americans older than 60 years have Parkinson disease (PD). Diagnosis is clinical and based on the history and physical findings. The 4 cardinal motor symptoms are bradykinesia, resting tremor, muscle rigidity, and a gait disorder. The stereotypic PD tremor is a “pill-rolling” movement of the fingers and thumb with the arm at rest in the lap. However, no single clinical featu...

Healthy Diet in Children: Facts and Keys

Consuming a healthy diet throughout the lifecourse helps prevent malnutrition in all its forms as well as a range of Non-communicable diseases (NCDs) and conditions. But the increased production of processed food, rapid urbanization and changing lifestyles have led to a shift in dietary patterns. People are now consuming more foods high in energy, fats, free sugars or salt/sodium, and many do n...

Migraine: pitfalls in the diagnosis.

Although the understanding of the pathophysiology and the pharmacology of migraine has exploded there are still many pitfalls that may occur in the clinical assessment and management of migraine. This may prevent the patient from receiving optimal treatment. A diagnosis of migraine may be missed in the presence of other headache types that occur more frequently than migraine. Also, migraine may...

ALS: pitfalls in the diagnosis.

Pitfalls in neuroendocrine tumor diagnosis

Carcinoids, originating from cells of the diffuse endocrine system (DES), account for 0.7% of all malignancies and are characterized by a slow growth rate and the presence of nonspecific signs and symptoms often making their detection rather difficult. Gastroente ropancreatic neuroendocrine tumors (GEP-NETs) represent the majority (~70%) of DES tumors. Historically they account for about 2% of ...