Search results for "Neurology"
MKSAP Quiz: 2-month history of headaches, nausea, visual disturbance, difficulty speaking
A 79-year-old man is evaluated for a 2-month history of progressively worsening headaches, nausea, visual disturbance, and difficulty speaking. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/10/16/3.htm
16 Oct 2018
Set expectations for new migraine treatments
New drugs take aim at migraine prevention, but long-term effects are uncertain.
https://immattersacp.org/archives/2018/10/set-expectations-for-new-migraine-treatments.htm
1 Oct 2018
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
ACP offers new Practice Advisor module, webinars on use of opioids for chronic pain
The module, Opioid Risk Management, helps assess a practice's ability to successfully develop a treatment plan for chronic pain and track and monitor use of opioids if prescribed.
https://immattersacp.org/weekly/archives/2018/08/14/6.htm
14 Aug 2018
MKSAP Quiz: Follow-up evaluation of Alzheimer disease
An 82-year-old woman is seen for follow-up evaluation of Alzheimer disease. Since her last visit 12 weeks ago, she has been taking rivastigmine, with a progressively titrated dosage. The patient's only new symptoms are increasing insomnia, loss of appetite, and occasional diarrhea; she has had no feelings of hopelessness, helplessness, sadness, or guilt. Following a physical exam, Mini–Mental State Examination, and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/08/07/3.htm
7 Aug 2018
MKSAP Quiz: 1-year history of tremor
A 56-year-old woman is evaluated for a 1-year history of tremor. The tremor is more prominent on the right side. She also reports increasing problems with balance and numerous falls, especially when arising from a chair or turning. The patient does not have any significant cognitive symptoms. Following a physical exam and cranial nerve examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/05/22/3.htm
22 May 2018
MKSAP Quiz: Worsening headaches
A 26-year-old woman is evaluated for progressively worsening headaches that began intermittently 6 months ago and became daily 3 months ago. The patient describes bilateral “vise-like” pain that is steady, moderate in intensity, and unaffected by physical activity. She also has experienced brief, temporal, sharp pains and a few episodes of transient binocular visual dimming. Following a physical exam, funduscopy, MRI, and lumbar puncture, what is the most appropriate treatment?
https://immattersacp.org/archives/2018/04/mksap-quiz-worsening-headaches.htm
1 Apr 2018
The role of a lifetime in medical education
Standardized patients are used during medical school to ensure physicians develop competencies in communication and physical examination skills.
https://immattersacp.org/archives/2018/04/the-role-of-a-lifetime-in-medical-education.htm
1 Apr 2018
MKSAP Quiz: Multiple sclerosis in the setting of pregnancy
A 29-year-old woman is evaluated during a routine follow-up examination of multiple sclerosis, which was diagnosed 3 years ago. The patient says she wishes to discontinue her oral contraceptive and attempt to become pregnant. She has no other personal or family medical history of note. Medications are fingolimod, vitamin D, and an oral contraceptive. Besides discontinuing the oral contraceptive, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/02/13/3.htm
13 Feb 2018
Bringing medicine back to the bedside
The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018