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MKSAP Quiz: follow-up evaluation of Parkinson disease

A 58-year-old woman is seen for a follow-up evaluation of Parkinson disease, which she has had for 12 years. She was initially treated with ropinirole to which levodopa-carbidopa was added as the disease progressed. After 5 years of good control on medication, she began to experience involuntary generalized twisting and writhing movements after taking each dose of levodopa-carbidopa and noticed that the medication's effect waned after several hours. What is the best treatment for this patient?
https://immattersacp.org/weekly/archives/2015/01/27/3.htm
27 Jan 2015

Devil can be in the details for DME requests

This issue covers topics including requests for durable medical equipment (DME), screening for stages 1 to 3 chronic kidney disease, and diagnosis of meningitis.
https://immattersacp.org/archives/2014/07/editors.htm
1 Jul 2014

Antiepileptic drugs associated with sevenfold drop in sudden, unexpected deaths

Treatment with adjunctive antiepileptic drugs at efficacious doses may reduce sudden unexpected death in epilepsy by more than seven times compared with placebo in patients with previously uncontrolled seizures.
https://immattersacp.org/weekly/archives/2011/09/27/6.htm
27 Sep 2011

Is your staff prepared to respond to a stroke?

Education about symptoms should target office staff with patient contact, as well as patients and relatives of those at risk.
https://immattersacp.org/archives/2008/05/two.htm
1 May 2008

Undiagnosed diseases program tries to crack the tough cases

When a condition stumps the experts, the experts turn to a center of last resort, the federal Undiagnosed Diseases Program at the National Institutes of Health. Medical teams take a “big picture” view and a fresh eye to pick up on what may have been missed.
https://immattersacp.org/archives/2012/05/mystery.htm
1 May 2012

The timing is right, and possibly expandable, for giving tPA

Tissue plasminogen activator (tPA) was the star of the show at this year's International Stroke Conference 2009, with much discussion of expanding its treatment window, and several studies presented on gender differences in tPA treatment.
https://immattersacp.org/archives/2009/04/stroke.htm
1 Apr 2009

Is the generation gap a growth opportunity?

Younger physicians enter medical school and their careers with a much different take on work-life balance than their teachers, mentors and employers. But each generation brings strengths to the workplace.
https://immattersacp.org/archives/2008/04/two.htm
1 Apr 2008

Making sense of movement disorders

From uncontrollable urges to move to a struggle to make even basic gestures, movement disorders cover a wide range of problems.
https://immattersacp.org/archives/2013/06/movement.htm
1 Jun 2013

Antidepressant may help cognitive recovery after stroke

Internists should follow up with prostate cancer patients receiving ADT
https://immattersacp.org/weekly/archives/2010/02/09/4.htm
9 Feb 2010

Age, disability among indicators of medication adherence 3 months after stroke

Invasive MRSA rates dropped dramatically
https://immattersacp.org/weekly/archives/2010/08/17/5.htm
17 Aug 2010

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