Search results for "Neurology"
MKSAP Quiz: Prevent cognitive impairment
A 60-year-old woman comes to the office to discuss the best strategy to prevent cognitive impairment. After a physical exam and cognitive screening testing, what is the most effective preventive measure?
https://immattersacp.org/weekly/archives/2021/11/16/3.htm
16 Nov 2021
Protective equipment for physicians' mental health
The Emotional PPE Project is a nonprofit directory that connects health care workers with licensed mental health professionals, which has become particularly important during the COVID-19 pandemic.
https://immattersacp.org/archives/2021/09/protective-equipment-for-physicians-mental-health.htm
1 Sep 2021
MKSAP Quiz: 4-year history of headaches
A 39-year-old woman is evaluated for a 4-year history of headaches that typically occur twice weekly and last 8 to 12 hours when not treated early. The pain is bilateral, frontotemporal, vice-like, and aggravated by physical activity. Following a physical and neurological exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/08/18/4.htm
18 Aug 2020
Internists likely to see unprovoked first seizure
It's common for internists to see and receive referrals back for unprovoked first seizures, leading to considerations of treatment versus waiting.
https://immattersacp.org/archives/2015/09/seizures.htm
1 Sep 2015
MKSAP Quiz: A 3-year history of decline in cognition
A 60-year-old man is evaluated for a 3-year history of gradual, progressive decline in his cognition, behavior, and motor skills. Following a physical exam, MRI, and neuropsychological testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/28/3.htm
28 Sep 2021
Know when to worry about floaters and flashes
When patients present with ophthalmic floaters and flashes of light, asking the right questions can help internists decide when to refer to an ophthalmologist.
https://immattersacp.org/archives/2021/06/know-when-to-worry-about-floaters-and-flashes.htm
1 Jun 2021
MKSAP Quiz: 2-year history of repetitive movements
An 18-year-old woman is evaluated for a 2-year history of repetitive fast movements of the neck that tilt the head to the right side. She reports that these movements are preceded by a feeling of discomfort in the right shoulder and that if she concentrates and taps the right foot immediately after this sensory cue, she usually can avoid the neck movements. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/02/3.htm
2 Jun 2020
SSRIs associated with remission of depression following intracerebral hemorrhage
Selective serotonin reuptake inhibitors (SSRIs) were associated with remission of depression following an intracerebral hemorrhage (ICH), but also higher risk of ICH recurrence in patients with pre-existing clinical, genetic, or neuroimaging risk factors for hemorrhagic stroke.
https://immattersacp.org/weekly/archives/2020/09/01/6.htm
1 Sep 2020
E-consults can empower, burden physicians
E-consults, which have become more common, increase access to subspecialty expertise but can increase stress on primary care clinicians due to the administrative time and clinical effort that they require.
https://immattersacp.org/archives/2018/10/e-consults-can-empower-burden-physicians.htm
1 Oct 2018
MKSAP Quiz: Evaluation for a carotid bruit
A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologic symptoms or visual loss. He has type 2 diabetes mellitus and hyperlipidemia treated with metformin, moderate-intensity pravastatin, and aspirin. Following a physical exam, neurological exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/11/12/3.htm
12 Nov 2019