Search results for "Neurology"
MKSAP Quiz: Discussing results of imaging
A 42-year-old man comes to the office to discuss results of imaging studies, which were ordered because of a change in his pattern of chronic migraine. Headache episodes have now improved. Following a physical exam and noncontrast CT scan, what is the most appropriate next step in management?.
https://immattersacp.org/archives/2016/02/mksap.htm
1 Feb 2016
Weighing the risks of valproate for epilepsy in women
Valproate may sometimes be the only treatment option for epilepsy in women of childbearing age. An expert explains how to handle the issue.
https://immattersacp.org/archives/2016/02/epilepsy.htm
1 Feb 2016
MKSAP Quiz: persistent right-sided facial weakness
A 53-year-old man is evaluated for persistent right-sided facial weakness. Three months ago, he first noticed “droopiness” of the right side of his lower face, difficulty closing the right eye and wrinkling the forehead, increased sensitivity to loud noises, and occasional slurred speech. Bell palsy was diagnosed, and he began a 10-day course of prednisone. He has noted only limited improvement, with continued facial drooping and mildly dysarthric speech; he now uses an eye patch over his right eye at night. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/12/15/3.htm
15 Dec 2015
MKSAP Quiz: follow-up evaluation of a tremor
A 54-year-old man is seen for follow-up evaluation of a tremor in his upper extremities that has been present since age 20 years. The tremor was mild for many years and did not interfere with his work but has become more prominent in recent years. He has difficulty writing and using utensils during meals. Following a family history, physical exam, and testing, what is the most appropriate next step in treating this patient's tremor?
https://immattersacp.org/weekly/archives/2015/10/27/3.htm
27 Oct 2015
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: 1-year history of increasing forgetfulness
A 67-year-old woman is evaluated for a 1-year history of increasing forgetfulness. She reports greater difficulty keeping track of upcoming appointments, recalling details of recent telephone conversations, and remembering names of new acquaintances. Otherwise, she has no complaints and her physical and neurological exams are normal. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/09/01/3.htm
1 Sep 2015
MKSAP Quiz: 5-year history of recurrent headache
A 28-year-old man is evaluated for a 5-year history of recurrent headache that occurs several times per month and lasts 12 to 24 hours. He describes the headache as a bilateral frontal pressure associated with nasal congestion and sensitivity to light, sound, and smell. The pain is generally moderate in intensity but worsens when he bends forward or exercises and has caused him to miss 3 days of work recently. Following a physical exam and neurological exam, what is the most appropriate management of this patient's disorder?
https://immattersacp.org/weekly/archives/2015/06/02/3.htm
2 Jun 2015
New guideline published on management of unprovoked first seizure
Physicians treating adults with an unprovoked first seizure should inform them that their seizure recurrence risk is greatest, between 21% and 45%, within the first 2 years, according to a joint guideline by the American Academy of Neurology and the American Epilepsy Society.
https://immattersacp.org/weekly/archives/2015/05/12/7.htm
12 May 2015
MKSAP Quiz: 1-year history of fatigue, headaches
A 30-year-old woman is evaluated for a 1-year history of fatigue, headaches, poor sleep, depression, intermittently blurred vision, and weakness when climbing stairs. She takes no medication.
https://immattersacp.org/weekly/archives/2015/04/21/3.htm
21 Apr 2015
Seeking clarity for opioid prescribing
Doctors continue to be frustrated by their patients' chronic pain problems, due to a lack of evidence on opioids' long-term effectiveness and strong evidence of potential harms.
https://immattersacp.org/archives/2015/04/opioids.htm
1 Apr 2015