Search results for "Neurology"
Headaches that should flag further attention
Every patient with a headache needs to have secondary causes ruled out, and the acronym SNOOP4 is easy to adopt and use.
https://immattersacp.org/archives/2018/01/headaches-that-should-flag-further-attention.htm
1 Jan 2018
A ‘smart’ approach to performance drugs
An increasing prevalence of the use of cognitive-enhancing substances, or so-called “smart drugs,” among healthy people has raised concerns among internists and medical ethicists.
https://immattersacp.org/archives/2017/11/a-smart-approach-to-performance-drugs.htm
1 Nov 2017
MKSAP Quiz: Evaluation for involuntary movements
A 22-year-old woman is evaluated for a 2-year history of abnormal involuntary movements. The patient is able to suppress the movements completely for brief periods but then feels pressure building at the left shoulder and the urge to release it. Following a physical and neurological exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/10/31/3.htm
31 Oct 2017
Consensus lacking on lifestyle and dementia
Boosting exercise, controlling blood pressure, and pursuing cognitive training are likely to lower the risk for cognitive decline and dementia in the long term, although the evidence is not conclusive.
https://immattersacp.org/archives/2017/10/consensus-lacking-on-lifestyle-and-dementia.htm
1 Oct 2017
MKSAP Quiz: Follow-up evaluation of Parkinson disease
This week's quiz asks readers to evaluate a 68-year-old man seen for follow-up of Parkinson disease diagnosed 10 years ago. Although his symptoms initially were well controlled with medications, he has experienced increasing fluctuations in motor symptoms, specifically tremor at rest and slowness, within the past three years.
https://immattersacp.org/weekly/archives/2017/08/01/3.htm
1 Aug 2017
Migraine model predicts future episodes based on daily stress moderately well
While short-term prediction of headaches in persons with migraine using daily stress inventories has potential, further refinement is needed.
https://immattersacp.org/weekly/archives/2017/07/18/4.htm
18 Jul 2017
MKSAP Quiz: 1-week history of recurrent episodes of facial pain
A 36-year-old woman with relapsing-remitting MS is evaluated for a 1-week history of recurrent episodes of facial pain that are 1 to 3 seconds in duration and occur spontaneously dozens of times throughout the day. The pain is sharp, severe, and located in the right infraorbital area. During this same period, she has developed worsening bilateral lower extremity weakness and urinary incontinence. After a physical exam and lab studies, what is the most likely cause of the facial pain?
https://immattersacp.org/weekly/archives/2017/04/25/3.htm
25 Apr 2017
DynaMed Plus image quiz: Thrombosis
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular flow following successful thrombolysis, as might occur after the patient is treated with intravenous alteplase within 180 minutes of stroke onset. Post-thrombolytic therapy, what is this patient is most likely to have?
https://immattersacp.org/archives/2017/04/dynamed.htm
1 Apr 2017
PERSPECTIVES 4 ACP Internist Last November, the debate over ...
recommendations from theAmerican College of Chest Physicians, theAmerican College of Emergency Physicians/American Academy of Neurology, and theAmerican Heart Association/AmericanStroke Association.
https://immattersacp.org/archives/2017/04/acpi-201704-dynamed_t1.pdf
23 Mar 2017
Textbook edition reflects evolution of hospital medicine
The first update of “Principles and Practice of Hospital Medicine” exemplifies how hospital medicine has evolved and the skills that hospitalists need to have.
https://immattersacp.org/archives/2017/02/textbook.htm
1 Feb 2017