In 60 medical centers, 1,500 patients were randomized to either a restrictive or liberal fluid strategy. The 90-day mortality rate was 14% in the fluid-restrictive group and 14.9% in the liberal group, equating to statistical equivalence between the two approaches.

Although children are more likely than adults to have SPD, adults can have symptoms. In adults, it’s likely the symptoms have existed since childhood, but the adult has developed management tools that hide the disorder from others. Learn more and share it with your patients.

In addition to the improvements in gait and balance, all individuals, including those who combined a Mediterranean diet with a placebo, improved their endurance after four months, according to the pilot study published in Food & Function.

In the ER, the patient was disoriented and appeared pale and diaphoretic. He initially complained of dizziness, shortness of breath, ringing in the ears, and feeling “weird.” Temperature and oxygen saturation were normal. BP was 182/112, and blood glucose was 152. Initial labs and studies showed no obvious cause for the patient’s problem. Follow Dr. Antonio Granfone through the differential and the ultimate discovery and correction of the cause.

The updated guidelines recommend, in brief:

This woman’s headache started suddenly three months ago. It begins as a dull, localized pain at the top of the head, starting within 30 minutes of rising, and increases in intensity, becoming a global headache as the day progresses. Bedrest alleviates the symptoms. Review the MRI and choose an appropriate therapy.