September 30, 2026
ALS/NMD is a pattern, not a test
Mixed upper and lower motor neuron signs matter more than any single investigation when ALS is suspected.
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September 20, 2026
Does paracetamol add to morphine?
Adjunctive intravenous paracetamol may help acute pain, but the trial leaves clinically important uncertainty.
Read briefingSeptember 19, 2026
When polio stops fitting the pattern
Sensory symptoms, symmetry and age-specific incidence challenge an established diagnosis of paralytic polio.
Read briefingSeptember 17, 2026
Back pain before the weakness starts
Spinal epidural abscess can be advanced before fever or neurological deficits appear.
Read briefingSeptember 15, 2026
When anisocoria changes the differential
Light–dark comparison and associated signs help separate benign anisocoria from neurological emergencies.
Read briefingSeptember 14, 2026
Brain death requires a complete assessment
Residual responses, confounders or incomplete testing can prevent a brain death diagnosis despite devastating injury.
Read briefingSeptember 14, 2026
When a negative dipstick misses proteinuria
Proteinuria needs quantification because dipsticks can miss albumin and ACR does not measure all urinary protein.
Read briefingSeptember 11, 2026
Preventing secondary injury after severe TBI
In severe head injury, protecting oxygenation and cerebral perfusion starts before the CT scan.
Read briefingSeptember 9, 2026
Dexamethasone timing in bacterial meningitis
Early dexamethasone matters in bacterial meningitis, and Listeria confirmation may not mean it should stop.
Read briefingAugust 31, 2026
Start acute speech assessment at hello
A precise bedside description separates focal language loss from problems with articulation, voice and attention.
Read briefingAugust 27, 2026
Speech delay after a normal hearing screen
Which communication delays require audiology and early referral, even when other development is reassuring?
Read briefingAugust 26, 2026
Papilloedema can threaten vision with normal acuity
The urgent task is to confirm raised pressure, detect field loss and protect sight.
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