Herpes Zoster (Shingles)

The following illustration presents a very quick review of VZV infection causing Herpes Zoster, also known as “shingles”. Quick reminder about pain management: Do not forget that the most effective strategy to prevent pain complications is early treatment of infection with antiviral drugs. If pain is already established, the recommendation is treating the acute phase…

Myelitis vs. Guillain Barré vs. MS

Let’s take a very quick review of these demyelinating diseases. Patient comes to the ED because of limb weakness and sensory alterations. If there’s a clearly defined level with no cranial nerve and no brainstem symptoms, we may be in front of transverse myelitis. If there is in fact oculomotor weakness with dyplopia or weakness…

Meralgia paresthetica

Check the following illustrations out. A patient comes for your help due to thigh pain. It hurts in a clearly demarcate area on the anterior and lateral region of her thigh. Pain is of a burning quality. Numbness is also felt. No motor abnormalities. Patient is overweight and has been wearing a very tight belt…