Search results for "Sleep apnea"
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
MKSAP Quiz: Evaluation for daytime sleepiness
A 72-year-old man is evaluated for daytime sleepiness. His wife notes that he snores. He sleeps 8 hours each night. On most days of the week, he feels sleepy and will nap for 45 minutes. Following a physical exam and review of a previous procedure, what is the most appropriate test?
https://immattersacp.org/weekly/archives/2023/08/08/3.htm
8 Aug 2023
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: Evaluation for daytime sleepiness
A 31-year-old woman is evaluated for a 1-year history of daytime sleepiness. She falls asleep while watching TV, at the theater, and occasionally during a meal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/06/15/3.htm
15 Jun 2021
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2023/06/latest-updates-on-acps-priorities-initiatives.htm
1 Jun 2023
Task Force finds insufficient evidence on screening for afib
The U.S. Preventive Services Task Force reviewed trials published since 2017 but did not deem them strong enough to show evidence of benefit or harm.
https://immattersacp.org/weekly/archives/2022/02/01/3.htm
1 Feb 2022
MKSAP Quiz: Discuss bariatric surgery
A 39-year-old woman comes to the office to discuss bariatric surgery. She has been unable to lose weight with diet and exercise, including supervised weight loss programs. Following a physical exam, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2022/02/15/3.htm
15 Feb 2022
ADA, EASD update guidance on managing hyperglycemia
An updated consensus statement from the American Diabetes Association (ADA) and European Association for the Study of Diabetes (EASD) addressed social drivers of health, lifestyle modifications, and new drug classes for type 2 diabetes.
https://immattersacp.org/weekly/archives/2022/10/04/1.htm
4 Oct 2022
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
Inhaled bronchodilators may not improve respiratory symptoms in tobacco-smoking patients with preserved lung function
A randomized controlled trial in patients with at least a 10 pack-year smoking history and respiratory symptoms but normal spirometry results found no difference in symptoms over 12 weeks between those who received indacaterol plus glycopyrrolate twice daily or placebo.
https://immattersacp.org/weekly/archives/2022/09/13/1.htm
13 Sep 2022