New-Onset Myasthenia Gravis Confirmed by Electrodiagnostic Studies After a Third Dose of SARS-CoV-2 mRNA-1273 Vaccine.

Coronavirus disease 2019 vaccine-related pathology is a rare occurrence with few reported cases. We report on a case of a 60-yr-old man experiencing symptoms of dysphagia, dysarthria, diplopia, and weakness with onset 6 days after receiving a third full dose of SARS-CoV-2 vaccine (mRNA-1273 vaccine) in August 2021, which he received outside of the Center for Disease Control recommended guidelines, at 4 mos after his second dose of the Moderna vaccination course in March 2021. The Food and Drug Administration Emergency Use Authorization for mRNA-1273 booster was established in October 2021.

Balance Problems and Fall Risks in the Elderly.

Falls in the elderly are an increasing problem causing a high degree of morbidity, mortality, and use of health care services. Identification of risk factors through medical assessment supports the provision of appropriate interventions that reduce rates of falling. Evaluation and intervention strategies are generally challenging because of the complex and multifactorial nature of falls.

Pilot Inpatient Pain Pharmacist Consult Service at the West Palm Beach VA Medical Center.

An inpatient pain pharmacist consult service may help manage the complex issues associated with medications for patients with pain.

Balance Problems and Fall Risks in the Elderly.

Falls in the elderly are an increasing problem causing a high degree of morbidity, mortality, and use of health care services. Identification of risk factors through medical assessment supports the provision of appropriate interventions that reduce rates of falling. Evaluation and intervention strategies are generally challenging because of the complex and multifactorial nature of falls.

The Use of Transdermal Buprenorphine in Complex Regional Pain Syndrome: A Report of Two Cases.

Management of complex regional pain syndrome (CRPS) can be challenging. Various pharmacological approaches have produced mixed results. Buprenorphine activates mu-opioid receptors and antagonizes kappa and delta receptors, acts at N-methyl-d-aspartate (NMDA) receptor, and is an orphan-related ligand-1 receptor agonist.

Opioid-Induced Androgen Deficiency in Veterans With Chronic Nonmalignant Pain.

Patients on chronic opioid therapy or considering it should be counseled about the risks associated with opioid-induced androgen deficiency.

The use of botulinum toxin in physical medicine and rehabilitation.

A review of the history and pharmacology of the botulinum neurotoxins is presented. Established mechanisms of action are discussed as well as preliminary evidence of other potential mechanisms, as related to botulinum toxins' antinociceptive properties. Methods of administration, including reconstitution, dilution, and basic injection techniques/principles are reviewed.

Relation of wrist angles to median nerve conduction studies.

Objectives: To measure the changes in median nerve conduction parameters at various angles of wrist flexion and extension.

Design: We studied 8 patients with carpal tunnel syndrome (CTS) and 4 subjects (5 hands) without the condition (controls). Conduction parameters were measured with the wrist in neutral position and at different wrist angles.

Provocative F waves may help in the diagnosis of thoracic outlet syndrome: a report of three cases.

To determine the value of F waves in provocative positions for the diagnosis of thoracic outlet syndrome, we performed provocative maneuvers on three patients with a clinical diagnosis of thoracic outlet syndrome. The patients had complained of intermittent upper limb pain with associated weakness and paresthesias for several years, and previous evaluations included essentially normal cervical and shoulder imaging studies and electrodiagnostic studies. Although upper limb nerve conduction studies, including ulnar and median F waves, were within normal limits, provocative F waves were obtained in the symptomatic and asymptomatic arm.