Search results for "Neurology"
MKSAP Quiz: 2-year history of repetitive movements
An 18-year-old woman is evaluated for a 2-year history of repetitive fast movements of the neck that tilt the head to the right side. She reports that these movements are preceded by a feeling of discomfort in the right shoulder and that if she concentrates and taps the right foot immediately after this sensory cue, she usually can avoid the neck movements. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/02/3.htm
2 Jun 2020
Know when to worry about floaters and flashes
When patients present with ophthalmic floaters and flashes of light, asking the right questions can help internists decide when to refer to an ophthalmologist.
https://immattersacp.org/archives/2021/06/know-when-to-worry-about-floaters-and-flashes.htm
1 Jun 2021
SSRIs associated with remission of depression following intracerebral hemorrhage
Selective serotonin reuptake inhibitors (SSRIs) were associated with remission of depression following an intracerebral hemorrhage (ICH), but also higher risk of ICH recurrence in patients with pre-existing clinical, genetic, or neuroimaging risk factors for hemorrhagic stroke.
https://immattersacp.org/weekly/archives/2020/09/01/6.htm
1 Sep 2020
Internists likely to see unprovoked first seizure
It's common for internists to see and receive referrals back for unprovoked first seizures, leading to considerations of treatment versus waiting.
https://immattersacp.org/archives/2015/09/seizures.htm
1 Sep 2015
MKSAP Quiz: Follow-up evaluation of dementia
A 53-year-old woman is brought to the office by her husband for follow-up evaluation of behavioral-variant frontotemporal dementia, which was diagnosed 9 months ago. Her clinical symptoms of occasional aphasia, minor memory impairment, behavioral disinhibition, and obsessive-compulsive behaviors have worsened since diagnosis and have become disruptive. Her husband asks about possible medications to control her symptoms. What is the most appropriate medication to recommend?
https://immattersacp.org/weekly/archives/2021/06/08/3.htm
8 Jun 2021
MKSAP Quiz: Difficulty holding head upright
A 71-year-old woman is evaluated for difficulty holding her head upright. She notes that her head feels heavy and reports intermittent difficulty with swallowing and speech that is worse in the evening. She has had no pain, sensory changes, weakness in the extremities, or cognitive or visual symptoms. Following a physical exam, lab studies, and other testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/03/10/3.htm
10 Mar 2020
Bringing medicine back to the bedside
The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018
MKSAP Quiz: Evaluation for a carotid bruit
A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologic symptoms or visual loss. He has type 2 diabetes mellitus and hyperlipidemia treated with metformin, moderate-intensity pravastatin, and aspirin. Following a physical exam, neurological exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/11/12/3.htm
12 Nov 2019
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2020/02/latest-updates-on-acps-priorities-initiatives.htm
1 Feb 2020
MKSAP Quiz: 2-year history of tremor in the dominant right hand
A 41-year-old woman is evaluated for a 2-year history of tremor in the dominant right hand. She says that the tremor has begun interfering with her work as a hairdresser, especially when she uses scissors. She also reports tightness in the forearm. Following a physical exam and MRI, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/02/26/3.htm
26 Feb 2019