Search results for "Neurology"
MKSAP Quiz: 1-year history of progressive weakness
A 52-year-old man is evaluated for a 1-year history of progressive weakness that began as right foot drop and bilateral tingling in the feet. Within the past 2 months, the patient has developed progressive weakness, which makes walking difficult. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/12/04/3.htm
4 Dec 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
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
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: 6-month history of exertional dyspnea
A 49-year-old woman is evaluated for a 6- month history of exertional dyspnea and nonproductive cough that had an insidious onset. She has not noticed any particular triggers for her cough. She has no history of asthma, airway disease, reflux, or aspiration. She has never smoked. She has had no chemical or industrial exposures, has not been in contact with birds, has not been in a hot tub recently, and has not had recent travel. She has no family history of atopy or asthma, and she takes no medications. Lung volumes and spirometry are normal; DLCO is mildly reduced at 75% of predicted. Based on physical exam and chest radiographs, what is the most likely diagnosis?.
https://immattersacp.org/archives/2014/07/mksap.htm
1 Jul 2014
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
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: 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
Candidates announced for Board of Governors Chair-elect
David R. Hilden, MD, FACP, and Priya Radhakrishnan, MD, FACP, are seeking election as Chair-elect Designee of the Board of Governors.
https://immattersacp.org/archives/2021/09/candidates-announced-for-board-of-governors-chair-elect.htm
1 Sep 2021
IMGs face uncertainty amid politics, rhetoric
Proposed changes to U.S. immigration policy have had a ripple effect on the medical field.
https://immattersacp.org/archives/2019/01/imgs-face-uncertainty-amid-politics-rhetoric.htm
1 Jan 2019