Adult-Onset Still's Disease (AOSD) in Patient with Previous Lyme Disease.

Adult-onset Still's Disease (AOSD) is a rare autoimmune disorder causing systemic inflammation that presents with a rash, fever, polyarthritis, and a characteristic serum hyperferritinemia. There is a complex relationship between infections and autoimmune disease, however, the association of AOSD with lyme disease is not well established. Here we present a case of AOSD in a 29-year-old male with a recent history of lyme disease.

Are You Using the Right Electronic Health Record?

With the enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, hospitals and physician practices across the country converted from a system of paper recordkeeping to fully integrated electronic health records (EHR)., With financial incentives in hand, there was a rush to market to acquire and implement these systems. Fast-forward 10 years, and it is apparent that the EHR space has significantly evolved in technology, processes, and policies.

Acute Psychosis and Panhypopituitarism: A Case Report.

We present a case of acute psychosis in a patient with panhypopituitarism admitted for adrenal crisis secondary to insufficient glucocorticoid replacement. Three months prior, she was admitted for a similar episode of adrenal crisis and underwent intubation; however, at that time her mental status was normal with no reported episodes of delirium or psychosis. After extubation, she was found to have psychotic symptoms which waxed and waned and were vaguely responsive to antipsychotics.

Altered physical pain processing in different psychiatric conditions.

Several reports indicate either increased or decreased pain sensitivity associated with psychiatric disorders. Chronic pain is highly prevalent in many of these conditions. We reviewed the literature regarding experimental pain sensitivity in patients with major depression, bipolar disorder, posttraumatic stress disorder (PTSD), generalized anxiety disorder, panic disorder, obsessive-compulsive disorder and schizophrenia.