In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the May 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Chronic Neurologic Disease: Parkinson Disease, Myasthenia Gravis, and Multiple Sclerosis

Parkinson's Disease

• Importance of maintaining medication schedule for Parkinson's patients
• Strategies for ensuring patients receive their medications promptly
• Overview of Carbidopa Levodopa's mechanism of action

Myasthenia Gravis

• Description of the disease mechanism
• Importance of assessing respiratory function
• Diagnostic alternatives like the negative inspiratory force test and counting test
• Discussion on appropriate emergency department actions and treatments including steroids, plasmapheresis, and IVIG

Multiple Sclerosis

• Description of the disease mechanism
• Description of the typical patient demographic
• Discussion on the varied presentation of MS
• Treatment strategies including high-dose steroids and Baclofen

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