Search results for "Neurology"
Differentiating ‘dizziness' and vertigo
Because patients use these two terms to describe a broad range of sensations, the symptom can pose a diagnostic challenge.
https://immattersacp.org/archives/2017/01/dizziness-vertigo.htm
1 Jan 2017
Safe prescribing can lessen overdose risk
In what one commentator called an “appalling” finding, 90% of patients in a recent study admitted to a hospital with a prescription opioid overdose eventually received another opioid prescription##mdash;often from the same clinician. Efforts to improve safe prescribing hope to fix the problem.
https://immattersacp.org/archives/2016/10/overdose.htm
1 Oct 2016
MKSAP Quiz: difficult-to-treat migraine
A 30-year-old woman is evaluated for difficult-to-treat migraine. She has had severe headaches, usually on the first day of menses, since menarche. The pain is hemicranial, pulsatile, and associated with severe nausea and vomiting but no aura. She frequently awakens with the attack already in progress. A series of drug regimens have become ineffective in controlling pain. Following physical and neurological exams, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2016/09/20/3.htm
20 Sep 2016
Keys to taking a neurological history
The most powerful tool in neurology is the history and physical exam, including the requirement that patients walk in the presence of neurologists, in order to better understand symptoms.
https://immattersacp.org/archives/2016/07/neurology.htm
1 Jul 2016
Internal Medicine Meeting 2016 goes to Washington
This issue covers topics such as the proper way to do a neurological workup, recently approved forms of insulin, and how to address nonalcoholic fatty liver disease.
https://immattersacp.org/archives/2016/07/editors.htm
1 Jul 2016
MKSAP Quiz: 10-year history of fear and anxiety
A 26-year-old woman is evaluated for a 10-year history of recurrent episodes of acute-onset feelings of fear and anxiety. These episodes initially occurred approximately 4 times per year but for the past 3 months have been occurring once or twice per month, especially when she is under stress. She describes the episodes as paroxysmal attacks of fear and anxiety associated with a dry mouth and a consistent “roller coaster” sensation in her stomach that typically last 15 seconds to 1 minute. Following a physical exam, brain MRI, and electroencephalogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/06/21/3.htm
21 Jun 2016
Optimizing medical therapy after stroke
Stroke survivors often leave the hospital with new prescriptions and substantial confusion about how, or even whether, to take them. This leaves internists with the sometimes formidable job of evaluating, prescribing, or tweaking these regimens, identifying and managing adverse effects, and reinforcing education about treatment risks, benefits, and adherence.
https://immattersacp.org/archives/2016/06/stroke.htm
1 Jun 2016
Internal Medicine Meeting 2016 goes to Washington
This issue covers topics such as colorectal cancer screening, the development and implementation of clinical guidelines, and management of stroke patients.
https://immattersacp.org/archives/2016/06/editors.htm
1 Jun 2016
MKSAP Quiz: 1-year history of increasing urinary frequency
A 50-year-old man is evaluated for a 1-year history of increasing urinary frequency and urgency and occasional urge incontinence. He has no symptoms of urinary hesitancy or incomplete emptying. The patient has primary progressive multiple sclerosis. Medications are dalfampridine and vitamin D. Following a physical exam, gait testing, and urinalysis, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2016/03/15/3.htm
15 Mar 2016
Managing Alzheimer's disease when options are limited
Primary care physicians can expect to diagnose an increasing number of patients with Alzheimer's disease as the U.S. population ages. While clinicians have been more successful in diagnosing the disease early, effective treatments or prevention options are more scarce.
https://immattersacp.org/archives/2016/03/alzheimers.htm
1 Mar 2016