Publications

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JAMDA
March 1, 2020
Parkinson’s Disease is a condition characterized by degeneration of the nigrostriatal pathways resulting in marked bradykinesia. Studies have reported that nearly 25% of Medicare beneficiaries with Parkinson’s Disease reside in long-term care...
JAMDA
March 1, 2020
Atypical chest pain is of diverse origin. Typically, we initially consider cardiac etiology. When pain appears non-cardiac, there is a tendency to underestimate the illness, especially if the patient has neuropsychiatric illness. Our resident with...
JAMDA
March 1, 2020
Chorea is a hyperkinetic movement disorder that manifests as random involuntary movements with an irregular, flowing, and writhing quality. It is often described in the setting of hereditary neurodegenerative conditions; however, it may be secondary...
JAMDA
March 1, 2020
West Nile Virus (WNV) infection is the most common mosquito-borne illness in the United States. Most cases are asymptomatic or with mild symptoms. Older adults are more likely to have central nervous system (CNS) involvement, and a higher risk for...
JAMDA
March 1, 2020
Skilled nursing facilities (SNFs) are faced with providing care for residents with increasing clinical complexity. Residents are being discharged from hospitals to post-acute care earlier and with multiple active co-morbidities. Clinicians working...
JAMDA
March 1, 2020
Antipsychotic medications are a vital part of controlling psychosis in schizophrenic patients. However, when those patients live in nursing facilities, we are obligated by CMS to undertake gradual dose reductions of antipsychotic medication if...
JAMDA
March 1, 2020
Catatonia – a diagnosis that involves motor, cognitive, behavioral, and autonomic irregularities -- may be seen in a variety of medical, psychiatric, and neurologic conditions or medication exposures. Here, we describe a case of catatonia seen in a...
JAMDA
March 1, 2020
Hyperkalemia, defined as a concentration of potassium greater than 5.5 mEq/L in adults, is commonly found on labwork in the subacute nursing facility, often seen in the setting of kidney disease as a result of impaired excretion of potassium in the...
JAMDA
March 1, 2020
While relatively rare in the general population, meningiomas are the most common tumors in the CNS. Most meningiomas are benign (80%) and can be managed only with continued observation without need for surgery or radiation therapy. There is also a...
JAMDA
March 1, 2020
Parkinsonism hyperpyrexia syndrome (PHS) is a dysautonomic disorder that was described in 1981 for the first time. It can present after reduction or discontinuation of antiparkinson medications, co-prescription of neuroleptic medications,...