Search results for "Cognitive impairment"
Helping older patients 'age in place'
Internists can help patients live at home as they age by assessing physical functioning, watching for changes in functioning, and directing them to available resources.
https://immattersacp.org/archives/2017/05/geriatrics.htm
1 May 2017
New research on PASC, COVID-19 infection and vaccination during pregnancy
Two studies analyzed postacute sequelae of COVID-19 (PASC) in older and ICU patients. Other new research showed that symptomatic infection during delivery raised risks in pregnant women but vaccination during pregnancy was safe. An ACP/Annals of Internal Medicine forum focused on outpatient management of COVID-19, and the FDA issued an emergency use authorization for a new monoclonal antibody treatment.
https://immattersacp.org/weekly/archives/2022/02/15/1.htm
15 Feb 2022
Alzheimer's markers make management tougher
New guidelines and diagnostic advances are identifying Alzheimer's disease and its precursors much earlier in the course of the disease. The bad news is that, for now at least, these improvements may only create more dilemmas for general internists for the role of biomarkers and communicating with patients.
https://immattersacp.org/archives/2011/09/alzheimers.htm
1 Sep 2011
Systematic reviews examine Alzheimer's detection, biomarkers, pharmacological treatments
An accompanying editorial noted that while some tools are available to identify, diagnose, and treat cognitive dysfunction from Alzheimer's dementia, they are blunt and lack clinical utility.
https://immattersacp.org/weekly/archives/2020/04/28/2.htm
28 Apr 2020
Age only one consideration in post-MI drug therapy
To determine the best therapy for elderly patients after a heart attack, physicians should get to know their goals for their lives.
https://immattersacp.org/archives/2020/09/age-only-one-consideration-in-post-mi-drug-therapy.htm
1 Sep 2020
Studies assess responses, reactions to vaccines; long-term effects of COVID-19 infection
Recent COVID-19 vaccine studies showed good response in pregnant women, as well as possible localized rashes from the Moderna vaccine. Analyses of ICU patients and those treated at a post-COVID-19 clinic highlighted the long-term effects of the virus, and a study found that dialysis patients maintained antibodies six months after COVID-19 infection.
https://immattersacp.org/weekly/archives/2021/05/18/1.htm
18 May 2021
Post-COVID-19 clinic director offers tips on lingering symptoms
The first step to treating patients with postacute sequelae of SARS-CoV-2 (PASC) is simple, one expert said: Believe them.
https://immattersacp.org/archives/2022/06/post-covid-19-clinic-director-offers-tips-on-lingering-symptoms.htm
1 Jun 2022
MKSAP Quiz: 1-month history of diminished concentration
A 57-year-old woman is hospitalized with a 1-month history of diminished concentration, memory, and judgment, with recent mental status fluctuations and gait disorder. Medical history is remarkable for hypertension. After a physical exam, lab studies, and brain MRI, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/05/12/3.htm
12 May 2020
MKSAP Quiz: Impaired gait and balance
A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough attention before tripping. In the past 6 months, he has had occasional problems recalling details of recent conversations and events, completing tasks around the house in a timely manner, and organizing and balancing his checkbook despite having been an accountant before retiring. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?
https://immattersacp.org/archives/2017/02/mksap.htm
1 Feb 2017
Joint guidelines on Lyme disease prevention, diagnosis, treatment open for comment
Among other recommendations, the draft guidelines favor oral antibiotic therapy with doxycycline, amoxicillin, cefuroxime axetil, or phenoxymethylpenicillin over other antimicrobials for treatment of Lyme disease.
https://immattersacp.org/weekly/archives/2019/07/02/2.htm
2 Jul 2019