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Evaluating the Headache Patient in an Ophthalmic Practice
Evaluating the Headache Patient in an Ophthalmic Practice

... with and without contrast can be performed if the patient is claustrophobic or if MRI cannot be obtained. Neurological visual field defects also require neuroimaging. Bitemporal defects, especially those that respect the vertical meridian, require imaging of the sella. MRI of the sella with and with ...
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... advanced CRC leads to significant improvements in median survival, with survival approaching up to 2 years with this treatment compared with an estimated survival of 6 months with best supportive care [7]. Intravenous combination treatment with fluorouracil and oxaliplatin, such as FOLFOX has been a ...
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[1,2]. Therefore, right atrial electroc
[1,2]. Therefore, right atrial electroc

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The Rheumatism Society of the District of Columbia
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... injection. With Enbrel and Humira these skin reactions may last up to a week. Kineret injection skin reactions may last for 10-14 days before fading away without scar. The most significant side effect of these medications is an increase the risk of all types of infections, including tuberculosis (TB ...
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Management of multiple sclerosis



Several therapies for multiple sclerosis (MS) exist, although there is no known cure. Multiple sclerosis is a chronic inflammatory demyelinating disease that affects the central nervous system (CNS).The most common initial course of the disease is the relapsing-remitting subtype, which is characterized by unpredictable attacks (relapses) followed by periods of relative remission with no new signs of disease activity. After some years, many of the people who have this subtype begin to experience neurologic decline without acute relapses. When this happens it is called secondary progressive multiple sclerosis. Other, less common, courses of the disease are the primary progressive (decline from the beginning without attacks) and the progressive-relapsing (steady neurologic decline and superimposed attacks). Different therapies are used for patients experiencing acute attacks, for patients who have the relapsing-remitting subtype, for patients who have the progressive subtypes, for patients without a diagnosis of MS who have a demyelinating event, and for managing the various consequences of MS.The primary aims of therapy are returning function after an attack, preventing new attacks, and preventing disability. As with any medical treatment, medications used in the management of MS may have several adverse effects, and many possible therapies are still under investigation. At the same time different alternative treatments are pursued by many patients, despite the paucity of supporting, comparable, replicated scientific study.This article focuses on therapies for standard MS; borderline forms of MS have particular treatments that are excluded.
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