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Why and how to monitor hypertension at home

Home measurement of high blood pressure overcomes variability inherent in office measurements, delivers better assessment of systolic pressure (and hence, of possible cardiovascular events) and offers a better chance of discontinuing drug therapy.
https://immattersacp.org/archives/2011/03/home.htm
1 Mar 2011

MKSAP Quiz: 1-year history of fatigue, headaches, sore throat

A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017

Daylight saving time may be linked to medical errors

The economic benefits of changing the clocks twice a year are miniscule and need to be weighed against increased motor vehicle accidents and the increased rate of myocardial infarction following the time change.
https://immattersacp.org/archives/2020/11/daylight-saving-time-may-be-linked-to-medical-errors.htm
1 Nov 2020

Physicians as patients with COVID-19

Physicians who contracted COVID-19 share their perspectives on how the disease has changed their personal and professional lives.
https://immattersacp.org/archives/2022/01/physicians-as-patients-with-covid-19.htm
1 Jan 2022

Treatments recommended for chronic insomnia resistant to nonmedical interventions

The recommendations are intended to help clinicians choose a specific pharmacological agent for the treatment of chronic insomnia in adults when such treatment is indicated.
https://immattersacp.org/weekly/archives/2017/02/28/4.htm
28 Feb 2017

Sleep medicine update in Curbsiders podcast episode

The Curbsiders, a podcast hosted by internists focusing on internal medicine-related topics, offers CME credit and MOC points to ACP members and is available on the ACP podcast landing page.
https://immattersacp.org/weekly/archives/2019/12/10/6.htm
10 Dec 2019

Sleep disorders may be overlooked on exams

Experts want sleep habits considered as a vital sign. Sleep problems are important in themselves and can also have consequences on other major comorbidities such as mood disorders, diabetes and hypertension.
https://immattersacp.org/archives/2012/02/sleep.htm
1 Feb 2012

Patients with Hashimoto disease and symptoms despite medication may benefit from thyroidectomy

Follow-up of a small randomized trial in Norway found that total thyroidectomy improved symptoms for up to five years but that complication rates were higher than expected.
https://immattersacp.org/weekly/archives/2023/11/28/4.htm
28 Nov 2023

When is it sleep apnea?

This issue covers topics including sleep apnea, prescribing generics, and hypertension.
https://immattersacp.org/archives/2015/03/editors.htm
1 Mar 2015

MKSAP Quiz: Follow-up after polysomnography

A 42-year-old man is evaluated for follow-up after a diagnosis of moderate obstructive sleep apnea 6 weeks ago. His daytime alertness has improved with continuous positive airway pressure, but the apparatus is cumbersome to transport on his frequent business trips. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/08/15/3.htm
15 Aug 2023

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