Search results for "Sleep apnea"
MKSAP Quiz: 1-year history of headaches, redness, itching
An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She has hypertension and takes hydrochlorothiazide. Blood pressure is 160/90 mm Hg, BMI is 19, and abdominal examination shows splenomegaly. After laboratory studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/10/02/4.htm
2 Oct 2018
‘Wearables' warrant wary expectations
Medical-grade wearable technology will be a $24 billion market by 2022, and the market is predicted to shift from recreational use toward disease diagnosis and management.
https://immattersacp.org/archives/2018/07/wearables-warrant-wary-expectations.htm
1 Jul 2018
MKSAP Quiz: Follow-up for sleep apnea
A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
Apnea outcomes may be similar when treated by sleep specialist or nonspecialist
Low-strength evidence indicated that outcomes were similar whether care was provided by primary care physicians, sleep specialist nurses, or sleep specialist physicians, although study authors noted that non–sleep specialists were often highly experienced in sleep medicine.
https://immattersacp.org/weekly/archives/2018/01/30/4.htm
30 Jan 2018
New CBC test, implant for apnea approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/01/new-cbc-test-implant-for-apnea-approved.htm
1 Jan 2018
A ‘smart’ approach to performance drugs
An increasing prevalence of the use of cognitive-enhancing substances, or so-called “smart drugs,” among healthy people has raised concerns among internists and medical ethicists.
https://immattersacp.org/archives/2017/11/a-smart-approach-to-performance-drugs.htm
1 Nov 2017
To lie down, perchance to sleep
Internists are good at picking up on obstructive sleep apnea, but chronic insomnia is underdiagnosed among a sleepy patient population.
https://immattersacp.org/archives/2017/09/to-lie-down-perchance-to-sleep.htm
1 Sep 2017
Cardiology groups issue guidance on heart failure
Among other recommendations, during a hospitalization for heart failure, measurement of a predischarge natriuretic peptide level can be useful to establish prognosis postdischarge.
https://immattersacp.org/weekly/archives/2017/05/02/2.htm
2 May 2017
Guideline issued on diagnostic testing for obstructive sleep apnea
Among other strong recommendations, clinical tools, questionnaires, and prediction algorithms are not recommended for obstructive sleep apnea diagnosis in adults in the absence of polysomnography or home sleep apnea testing.
https://immattersacp.org/weekly/archives/2017/03/21/4.htm
21 Mar 2017
MKSAP quiz: Sudden onset of erectile dysfunction
A 52-year-old man is evaluated for the sudden onset of erectile dysfunction that has persisted for 6 months. He reports having erections that are inadequate for vaginal penetration. He feels guilty about not being able to satisfy his wife's requests for sexual intercourse, although he still has sexual desires. He has been sleeping poorly and feeling fatigued throughout the day. Following a physical exam and lab studies, what is the most likely cause of this patient's erectile dysfunction?
https://immattersacp.org/weekly/archives/2017/03/07/3.htm
7 Mar 2017