Search results for "Neurology"
MKSAP Quiz: 6-month history of progressive weakness
A 61-year-old man is evaluated in the office for a 6-month history of progressive weakness of the lower extremities. This week's MKSAP Quiz asks readers to determine the best diagnostic test for this patient.
https://immattersacp.org/weekly/archives/2011/06/14/3.htm
14 Jun 2011
MKSAP Quiz: Emergency department evaluation for headache
A 45-year-old woman is evaluated in the emergency department for headache and impaired consciousness 60 minutes after onset of symptoms. She has a history of hypertension treated with lifestyle modification. The patient has a 20-pack-year smoking history. On physical examination, blood pressure is 158/68 mm Hg, pulse rate is 68/min and regular, and respiration rate is 16/min. Nuchal rigidity is noted. The pupils are reactive and symmetric in size and shape. On neurologic examination, the patient requires constant painful stimuli to follow commands and answer questions and moves the left side of the body less than the right. Results of funduscopic examination are shown. What is the most appropriate diagnostic test?.
https://immattersacp.org/archives/2013/03/mksap.htm
1 Mar 2013
Internal Medicine 2011 offers several new pre-courses
New offerings at ACP's annual meeting will include learning how to use portable ultrasound technology, the anatomy behind and diagnoses of common orthopedic complains, and an expanded neurological course including headache, dizziness and stroke.
https://immattersacp.org/archives/2011/03/IM.htm
1 Mar 2011
MKSAP Quiz: Difficulty swallowing for 6 months
A 54-year-old man is evaluated for difficulty swallowing of 6 months' duration. He initially had occasional choking with liquids, which has progressed to dysphagia with both liquids and solids. Following a physical exam, lab tests, and MRI of the brain, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2022/03/15/3.htm
15 Mar 2022
Treat metabolic syndrome's many components
Metabolic syndrome's prevalence has rapidly advanced in just the past decade. But medical societies don't recommend treating it as a distinct entity. They'd rather that physicians address the individual components of the illness, and encourage lifestyle modifications as the primary way to achieve such a goal.
https://immattersacp.org/archives/2011/03/metabolic.htm
1 Mar 2011
When patients don't tell all: The diagnostic challenge
Patients don't always disclose aspects of their history that may be shameful or stigmatizing, posing a challenge of attribution errors for physicians.
https://immattersacp.org/archives/2010/10/mindful.htm
1 Oct 2010
Task Force confirms recommendation against screening for asymptomatic carotid artery stenosis
The U.S. Preventive Services Task Force reconfirmed its recommendation against screening for carotid artery stenosis in the general adult population in adults without a history of transient ischemic attack, stroke, or other neurologic signs or symptoms.
https://immattersacp.org/weekly/archives/2014/07/08/1.htm
8 Jul 2014
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
Alzheimer's markers make management tougher
New guidelines and diagnostic advances are identifying Alzheimer's disease and its precursors much earlier in the course of the disease. The bad news is that, for now at least, these improvements may only create more dilemmas for general internists for the role of biomarkers and communicating with patients.
https://immattersacp.org/archives/2011/09/alzheimers.htm
1 Sep 2011