Search results for "Dizziness"
Take a tiered approach to CVD
Primary care physicians' efforts are paying off as they promote primary prevention of cardiovascular disease, even in a time-pressed visit.
https://immattersacp.org/archives/2022/02/take-a-tiered-approach-to-cvd.htm
1 Feb 2022
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
Pinpoint patients' top priorities
An approach to decision making in older adults with multiple chronic conditions begins with identifying the patient's health priorities before deciding which treatments to continue, stop, or start to align care with these individual goals.
https://immattersacp.org/archives/2021/06/pinpoint-patients-top-priorities.htm
1 Jun 2021
‘Considerable uncertainty’ surrounds efficacy, safety of analgesics for low back pain
A systematic review and meta-analysis of 98 randomized controlled trials found little high-certainty evidence on the comparative effectiveness and safety of analgesics for acute nonspecific low back pain.
https://immattersacp.org/weekly/archives/2023/03/28/1.htm
28 Mar 2023
AHA scientific statement looks at preventing, managing falls
Physicians should ask patients and relatives about previous falls, review use of medications and alcohol, and conduct a basic physical assessment, among other recommendations, according to the American Heart Association (AHA).
https://immattersacp.org/weekly/archives/2022/05/31/5.htm
31 May 2022
Internet-based rehab safe, effective for chronic vestibular syndrome, study finds
Patients with chronic vestibular syndrome were randomly assigned to a six-week internet-based intervention with weekly online sessions and 10 to 20 minutes of exercise a day, the internet-based intervention plus in-person physiotherapy support with home visits in weeks 1 and 3, or usual care.
https://immattersacp.org/weekly/archives/2019/11/12/2.htm
12 Nov 2019
MKSAP Quiz: 3-year history of palpitations, fatigue
A 42-year-old woman is evaluated for a 3-year history of palpitations and fatigue. She reports no chest pain, dizziness, near-syncope, or syncope. Ambulatory 24-hour electrocardiographic monitoring shows frequent monomorphic premature ventricular contractions (22% of all beats) and frequent ventricular bigeminy. What is the most appropriate management?
https://immattersacp.org/archives/2021/06/mksap-quiz-3-year-history-of-palpitations-fatigue.htm
1 Jun 2021
New ACP clinical guidelines address diagnosis, management of adult patients with diverticulitis
Among other recommendations, ACP suggests clinicians can manage most patients with uncomplicated left-sided colonic diverticulitis in an outpatient setting and should refer those with complicated disease for colonoscopy after an initial episode.
https://immattersacp.org/weekly/archives/2022/01/18/2.htm
18 Jan 2022
Keys to taking a neurological history
The most powerful tool in neurology is the history and physical exam, including the requirement that patients walk in the presence of neurologists, in order to better understand symptoms.
https://immattersacp.org/archives/2016/07/neurology.htm
1 Jul 2016
Little evidence exists to support antispasmodics for low back pain
According to a new systematic review, the effects of nonbenzodiazepine antispasmodics on low back pain are likely not great enough to be clinically important, and the drugs could increase the risk of an adverse event.
https://immattersacp.org/weekly/archives/2021/07/13/4.htm
13 Jul 2021