Search results for "Neurology"
MKSAP Quiz: follow-up evaluation of Parkinson disease
A 58-year-old woman is seen for a follow-up evaluation of Parkinson disease, which she has had for 12 years. She was initially treated with ropinirole to which levodopa-carbidopa was added as the disease progressed. After 5 years of good control on medication, she began to experience involuntary generalized twisting and writhing movements after taking each dose of levodopa-carbidopa and noticed that the medication's effect waned after several hours. What is the best treatment for this patient?
https://immattersacp.org/weekly/archives/2015/01/27/3.htm
27 Jan 2015
An internist with many interests
Jock Murray, MD, MACP, is like an 18th-century physician, not in the sense that he prescribes bloodletting or mercury, but in the wide range of his knowledge and interests.
https://immattersacp.org/archives/2015/01/profile.htm
1 Jan 2015
COX-2 inhibitors associated with greater risk for death after ischemic stroke
Cyclooxygenase (COX)-2 inhibitor use before hospital admission for ischemic stroke was associated with a higher 30-day mortality rate, according to a new study.
https://immattersacp.org/weekly/archives/2014/11/11/4.htm
11 Nov 2014
AHA/ASA releases updated guidelines for primary prevention of stroke
The American Heart Association/American Stroke Association last week released updated guidelines on the primary prevention of stroke that included new recommendations on the use of statins, blood pressure management, and risk stratification for atrial fibrillation.
https://immattersacp.org/weekly/archives/2014/11/04/4.htm
4 Nov 2014
Analysis finds several treatments for painful diabetic neuropathy more effective than placebo
A large meta-analysis recently compared the effectiveness of pharmacological treatments for painful diabetic neuropathy.
https://immattersacp.org/weekly/archives/2014/11/04/5.htm
4 Nov 2014
MKSAP Quiz: episodic migraine during pregnancy
A 30-year-old woman is evaluated for episodic migraine without aura that first presented in high school and has persisted into the third trimester of her current pregnancy. The headache attacks occur two to four times monthly and last 12 to 24 hours. She experiences moderately severe pain, significant nausea, no vomiting, and pronounced photophobia with most of the attacks. Her only medication is prenatal vitamins. Physical examination findings, including vital signs, are normal. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2014/10/07/3.htm
7 Oct 2014
Neurologists suggest steps for prescribing opioids for chronic pain
The American Academy of Neurology issued a position paper outlining steps that can help physicians who prescribe chronic opioid analgesic therapy (COAT) for chronic noncancer pain (CNCP).
https://immattersacp.org/weekly/archives/2014/10/07/1.htm
7 Oct 2014
Task Force confirms recommendation against screening for asymptomatic carotid artery stenosis
The U.S. Preventive Services Task Force reconfirmed its recommendation against screening for carotid artery stenosis in the general adult population in adults without a history of transient ischemic attack, stroke, or other neurologic signs or symptoms.
https://immattersacp.org/weekly/archives/2014/07/08/1.htm
8 Jul 2014
MKSAP Quiz: 6-month history of exertional dyspnea
A 49-year-old woman is evaluated for a 6- month history of exertional dyspnea and nonproductive cough that had an insidious onset. She has not noticed any particular triggers for her cough. She has no history of asthma, airway disease, reflux, or aspiration. She has never smoked. She has had no chemical or industrial exposures, has not been in contact with birds, has not been in a hot tub recently, and has not had recent travel. She has no family history of atopy or asthma, and she takes no medications. Lung volumes and spirometry are normal; DLCO is mildly reduced at 75% of predicted. Based on physical exam and chest radiographs, what is the most likely diagnosis?.
https://immattersacp.org/archives/2014/07/mksap.htm
1 Jul 2014
Tackling tPA and stroke outcomes through telemedicine
Thirteen “spoke” hospitals across the U.S. without on-site stroke experts used telemedicine to increased their use of recombinant tissue plasminogen activator (tPA) to treat acute ischemic stroke.
https://immattersacp.org/archives/2014/07/telemedicine.htm
1 Jul 2014