Search results for "Migraine"
MKSAP Quiz: Epilepsy management
A 35-year-old man is evaluated for a 3-year history of epilepsy. Seizures typically occur twice monthly. Treatment with oxcarbazepine and lamotrigine, although initially reducing seizure frequency, has been largely ineffective. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/03/02/3.htm
2 Mar 2021
MKSAP Quiz: Discussing results of imaging
A 42-year-old man comes to the office to discuss results of imaging studies, which were ordered because of a change in his pattern of chronic migraine. Headache episodes have now improved. Following a physical exam and noncontrast CT scan, what is the most appropriate next step in management?.
https://immattersacp.org/archives/2016/02/mksap.htm
1 Feb 2016
Differentiating ‘dizziness' and vertigo
Because patients use these two terms to describe a broad range of sensations, the symptom can pose a diagnostic challenge.
https://immattersacp.org/archives/2017/01/dizziness-vertigo.htm
1 Jan 2017
Guideline for Ménière's disease offers 16 key action statements for diagnosis, treatment
An updated guideline from the American Academy of Otolaryngology—Head and Neck Surgery cautions that due to the variety of clinical presentations in patients with definite and probable Ménière's disease, a full and accurate diagnosis may take months to attain.
https://immattersacp.org/weekly/archives/2020/04/14/4.htm
14 Apr 2020
Digging into the causes and fixes of resistant hypertension
An enduring challenge is figuring out why patients appear to have resistant hypertension and how to cure them of it.
https://immattersacp.org/archives/2016/09/hypertension.htm
1 Sep 2016
MKSAP Quiz: Evaluation for contraceptive advice
A 37-year-old woman is evaluated for contraceptive advice. She is married and has a 1-year-old child. The patient describes the conception of this child as an “accident” because she often missed taking her previous oral contraceptive. Her menstrual periods have resumed and are regular but heavy. What is the most appropriate female contraceptive option for this patient?
https://immattersacp.org/weekly/archives/2020/02/04/3.htm
4 Feb 2020
Complexity of ‘migraineurs' challenges diagnosis, treatment
Migraines are a seemingly simple complaint for patients, but a diagnostic challenge for internists, who have to sort through the symptoms and potential causes. Sometimes, the treatment regimens are just as complex as the condition itself.
https://immattersacp.org/archives/2012/09/headaches.htm
1 Sep 2012
MKSAP Quiz: Flushing of the face of 1 year's duration
A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. Following a physical exam, which medications should be discontinued prior to screening for secondary causes of hypertension?
https://immattersacp.org/weekly/archives/2019/09/24/3.htm
24 Sep 2019
Concussions cause cognitive concerns
Traumatic brain injury accounts for three million ED visits a year and at least another three to six million visits for outpatient medical care several days after the injury, without an ED visit.
https://immattersacp.org/archives/2019/02/concussions-cause-cognitive-concerns.htm
1 Feb 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