A Diagnostically Challenging Case of Recurrent Encephalitis With Impending Herniation.

Encephalitis is characterized by inflammation of the brain parenchyma with typical presenting symptoms of altered mental status and seizures. However, diagnostic workup is complex given the multitude of possible etiologies for encephalitis. Further, recurrence of encephalitis is rare, and understanding its risk factors, mechanisms, prognosis, and optimal treatment remains incomplete.

Transverse Myelitis: A Case-Based Discussion of Infectious Etiologies.

Transverse myelitis (TM) is a frequently encountered inpatient neurological condition, usually with a broad differential of etiologies narrowed down by detailed history, temporal profile of symptom evolution, and pertinent diagnostic studies. We report a rare case of a 39-year-old man who presented with subacute onset of headaches and confusion, and three days later developed quadriplegia and areflexia. He was diagnosed with acute longitudinally extensive transverse myelitis (LETM) related to Epstein-Barr virus (EBV) superimposed on an initial presentation of streptococcal meningitis.

Locked-In Syndrome: A Rare Manifestation of Neuropsychiatric Lupus.

Neuropsychiatric systemic lupus erythematosus (SLE) is a rare condition that has a multitude of mechanisms resulting in the emergence of variable clinical presentations. We describe a peculiar case of a 33-year-old female with a history of SLE presented with two weeks of fever, headache, and vomiting. On admission, she became obtunded and was emergently intubated.

Provider perspectives on nutrition interventions in primary care: the role of organizational structure and community partnerships.

Background: Poor nutrition remains a significant public health concern that is often managed within primary care settings. Meanwhile, to our knowledge, there have been few studies that evaluate the intent of primary care providers to offer nutrition services, nor what type of exchanges they engage in to ensure those programs can be implemented.

Methods: Semi-structured interviews were conducted with 16 primary care providers and support staff.

Patients' experiences of learning clean intermittent self-catheterization: a qualitative study.

Aim: This paper is a report of a study to explore the experiences of learning to carry out clean intermittent self-catheterization and user views of service provision.

Background: This treatment imposes a variety of challenges to users, both physical and emotional. Safety, infection rates and complications have been investigated, but the practicalities of learning and performing self-catheterization have not been addressed.

Effect of clean intermittent self-catheterization on quality of life: a qualitative study.

Aim: This paper is a report of a study to describe the experience of people carrying out clean intermittent self-catheterization and the impact on their quality of life.

Background: Clean intermittent self-catheterization is a recommended treatment for people experiencing urinary voiding difficulties. The majority of the literature to date has focused on biomedical issues such as complication rates and use of different catheters.