Search results for "Neurology"
MKSAP Quiz: 10-month history of increasingly frequent headache
This week's quiz asks readers to evaluate a 38-year-old woman who presents with a 10-month history of increasingly frequent headache.
https://immattersacp.org/weekly/archives/2011/12/13/3.htm
13 Dec 2011
MKSAP Quiz: 2-week history of bilateral leg weakness, urinary incontinence
A 19-year-old woman is admitted to the hospital because of a 2-week history of bilateral leg weakness and numbness accompanied by urinary incontinence that began after a viral gastrointestinal illness of 3 days' duration. She has no personal or family medical history of note and takes no medication. Following a physical exam and lab results, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2013/03/26/3.htm
26 Mar 2013
MS confounds, calls for better coordination
Internists are closely involved in care for multiple sclerosis, from recognizing symptoms to preventing complications. As the first line of defense, primary care physicians can find reassurance in guidance from a recent consensus paper on differential diagnosis.
https://immattersacp.org/archives/2009/09/ms.htm
1 Sep 2009
MKSAP Quiz: gradual memory loss
Prior aspirin use a marker for recurrent events post-ACS, but not mortalityDental procedures may pose transient, minimal cardiovascular risk
https://immattersacp.org/weekly/archives/2010/10/19/3.htm
19 Oct 2010
MKSAP Quiz: a 1-week history of paresthesias
Updated guidelines issued for fall prevention in the elderly
https://immattersacp.org/weekly/archives/2011/01/25/3.htm
25 Jan 2011
MKSAP Quiz: 3-week history of painful muscle spasms and twisting movements
A 24-year-old woman is evaluated for a 3-week history of painful muscle spasms and twisting movements in the neck and trunk. She says that her neck feels as if it is being pulled backward. She also reports general restlessness and an inability to keep still. Her medical history is notable for asthma, type 1 diabetes mellitus, and gastroparesis with reflux. The patient has no family history of neuropsychiatric disorders or liver disease. Medications are albuterol, insulin, omeprazole, and metoclopramide. Following findings from a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/03/18/3.htm
18 Mar 2014
Complexity of ‘migraineurs' challenges diagnosis, treatment
Migraines are a seemingly simple complaint for patients, but a diagnostic challenge for internists, who have to sort through the symptoms and potential causes. Sometimes, the treatment regimens are just as complex as the condition itself.
https://immattersacp.org/archives/2012/09/headaches.htm
1 Sep 2012
MKSAP Quiz: 6-month history of progressive weakness
A 61-year-old man is evaluated in the office for a 6-month history of progressive weakness of the lower extremities. This week's MKSAP Quiz asks readers to determine the best diagnostic test for this patient.
https://immattersacp.org/weekly/archives/2011/06/14/3.htm
14 Jun 2011
Web forum lets peers swap ideas for health care innovation
The Health Care Innovations Exchange Web site informs users how their peers have tackled common problems such as appointment scheduling or monitoring glucose levels of hospitalized patients.
https://immattersacp.org/archives/2008/07/web.htm
1 Jul 2008
MKSAP Quiz: Emergency department evaluation for headache
A 45-year-old woman is evaluated in the emergency department for headache and impaired consciousness 60 minutes after onset of symptoms. She has a history of hypertension treated with lifestyle modification. The patient has a 20-pack-year smoking history. On physical examination, blood pressure is 158/68 mm Hg, pulse rate is 68/min and regular, and respiration rate is 16/min. Nuchal rigidity is noted. The pupils are reactive and symmetric in size and shape. On neurologic examination, the patient requires constant painful stimuli to follow commands and answer questions and moves the left side of the body less than the right. Results of funduscopic examination are shown. What is the most appropriate diagnostic test?.
https://immattersacp.org/archives/2013/03/mksap.htm
1 Mar 2013