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Cervical Dystonia – additional opinion

These require further investigation with laboratory testing and possible neuroimaging.   Adult onset dystonia tends to ... a day. Experience in cervical dystonia is primarily with clinical use. Reports of baclofen show a response up to 47%. Side effects ...

Chronic pain of undetermined origin

origin   Case history and clinical report : Male patient, 67 years of age, in ... and, subject to clinical opinion, further diagnostic testing by means of scintigraphy. Total body bone scintigraphy : ...

Multiple miscarriages

including genetic, anatomic, immune and thrombophilic testing. Nothing of significance has emerged to justify 4 miscarriages. ... Database Syst Rev. 2000 Speroff and Fritz, Eds. Clinical Gynecologic Endocrinology and Infertility. Lipincott, Williams and ...

spreading pancreatic cancer

with no signs of enlarged adenoma, there is no clinical indication for intervention with respect to the suspected pituitary ... respect to the metastatic islet cell tumor, I recommend testing baseline gastrin and insulin . It appears that the patient's ...

Axonal and Demyelinative Sensorimotor Neuropathy

neurogenic changes in muscles. Follow-up nerve conduction testing that was performed 2 years later showed similar findings. ... looking for amyloidosis . I would follow-up on the clinical suggestion of claudication with peripheral vascular studies and an MRI ...

Ischemic Heart Disease

level of activity. The expert suggests additional testing in order to confirm or exclude a coronary artery obstruction, and to ... a yearly Ergometry Invitation for follow up: under clinical need 04/2009 - Heart Scan with TC-MIBI with strain G-SPECT ...

List of Examinations

ALP ALT ANA ANA and anti-phospholipids testing ANA screening test ANA serologies ANCA ANF ASA ... evaluation of neuroendocrine tumor of the lung Clinical assessment (of the abnormal posture of the neck) Clinical exam ...

Neuropathic Pain with Neuralgic Features

with diabetes and can be a possible explanation for the clinical picture. I would therefore suggest to perform quantitative sensory testing (QST) in order to assess the small nerve fibers. QST is a ...

Multinodular goiter with thyroid lobe cysts

1. What therapies do you suggest? My clinical impression is that patient had bleeding during procedure (FNA) ... evidence of hypothyroidism. I will check that by testing her thyroid function tests.    As far as the ...

Persistent Vertigo

on September 2008 : “otoscope examination negative, clinical signs of left vestibular deficit (II-III° nystagmus to the ... studies (CT and MRI) or Auditory Brainstem Response testing to suggest a problem in the brain, to the blood supply to the brain or ...

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