Search results for "Neurology"
MKSAP Quiz: Follow-up evaluation of dementia
A 53-year-old woman is brought to the office by her husband for follow-up evaluation of behavioral-variant frontotemporal dementia, which was diagnosed 9 months ago. Her clinical symptoms of occasional aphasia, minor memory impairment, behavioral disinhibition, and obsessive-compulsive behaviors have worsened since diagnosis and have become disruptive. Her husband asks about possible medications to control her symptoms. What is the most appropriate medication to recommend?
https://immattersacp.org/weekly/archives/2021/06/08/3.htm
8 Jun 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: Epilepsy management
A 35-year-old man is evaluated for a 3-year history of epilepsy. Seizures typically occur twice monthly. Treatment with oxcarbazepine and lamotrigine, although initially reducing seizure frequency, has been largely ineffective. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/03/02/3.htm
2 Mar 2021
What's in an eponym? Discussing namesake diseases
Where do medical eponyms come from? Consider their origins, the reasons why they've fallen out of favor, and why some still, against the odds, endure.
https://immattersacp.org/archives/2021/03/whats-in-an-eponym-discussing-namesake-diseases.htm
1 Mar 2021
Longer lifespans emerge in Down syndrome
Transitioning a patient with Down syndrome from a pediatric practice to an adult physician can be challenging due to a lack of willing physicians, who may not feel that they know enough to provide care.
https://immattersacp.org/archives/2021/02/longer-lifespans-emerge-in-down-syndrome.htm
1 Feb 2021
MKSAP Quiz: Recent worsening of balance in Parkinson disease
A 76-year-old man is evaluated for recent worsening of balance. He has no dizziness or lightheadedness. The patient has an 8-year history of Parkinson disease treated with carbidopa-levodopa and entacapone. Findings from physical, cognitive, cerebellar, and sensory examinations are unremarkable. Which of the following is the most appropriate test to determine the patient's risk of falling backward?
https://immattersacp.org/weekly/archives/2020/11/03/3.htm
3 Nov 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
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
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
ADHD more than a ‘condition of childhood’
Untreated adult patients with attention deficit/hyperactivity disorder (ADHD) have a higher rate of consequences that may result in underachievement. Proper detection can give internists a way to improve their patients' quality of life.
https://immattersacp.org/archives/2020/06/adhd-more-than-a-condition-of-childhood.htm
1 Jun 2020