Search results for "Cognitive impairment"
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
Review finds little evidence of link between heart procedures and cognitive decline
Physicians can tell older patients that although current data suggest cognitive risks may be small, there is substantial uncertainty about these estimates.
https://immattersacp.org/weekly/archives/2015/07/21/4.htm
21 Jul 2015
There's more to Medicare's Annual Wellness Visit
Clinicians and office staff can benefit from a refresher course about how to code claims correctly for prompt payment.
https://immattersacp.org/archives/2014/11/coding.htm
1 Nov 2014
Screening, treatment of asymptomatic bacteriuria not needed for most, guideline states
The Infectious Diseases Society of America recommends screening and treatment only in pregnant women and in patients undergoing endoscopic urologic procedures associated with mucosal trauma.
https://immattersacp.org/weekly/archives/2019/03/26/2.htm
26 Mar 2019
Resist the urge to overtreat bacteriuria
Antibiotics could be avoided more frequently even in patients who have significant bacteriuria if a physician takes the time to convey potential antibiotic risks.
https://immattersacp.org/archives/2019/07/resist-the-urge-to-overtreat-bacteriuria.htm
1 Jul 2019
MKSAP Quiz: 3-year history of fatigue
A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/04/23/3.htm
23 Apr 2019
Beta-blockers after MI associated with better survival but worsening function in nursing home patients
While some elderly patients can benefit from this guideline-directed therapy, costs and benefits need to be balanced in those with impairments, the authors said.
https://immattersacp.org/weekly/archives/2016/12/20/4.htm
20 Dec 2016
Changing thinking on chronic fatigue
A recent report might shed some diagnostic insight on the profound fatigue, unrefreshing sleep, and other nagging symptoms that could indicate myalgic encephalomyelitis/chronic fatigue syndrome.
https://immattersacp.org/archives/2015/06/fatigue.htm
1 Jun 2015
MKSAP Quiz: severe, persistent, burning pain in an assisted-living patient
An 86-year-old woman is evaluated in her assisted-living facility for pain. Four weeks ago, she developed herpetic lesions on her right posterior thorax in a T7 distribution. She was treated with acyclovir, and the lesions healed; however, she has persistent severe burning pain. The pain is so severe that she is unable to leave her bed to attend meals. Following a physical exam, which medication is the most appropriate pharmacologic therapy for this patient's pain?
https://immattersacp.org/weekly/archives/2016/05/17/3.htm
17 May 2016
‘Geriatric tsunami’ carries elderly obesity
By 2030, more than 20% of the U.S. population is expected to be over the age of 65, according to the U.S. Census Bureau. The expected rise in functional impairment in later years can be staved off with a healthy lifestyle.
https://immattersacp.org/archives/2017/02/elderly.htm
1 Feb 2017