Search results for "Sleep Disorders"
MKSAP Quiz: 1-year history of fatigue, headaches, sore throat
A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017
New vaccine authorization and data, NIH on antibody treatment and ‘long COVID’
The Johnson & Johnson COVID-19 vaccine got an emergency use authorization, and an Israeli study provided more data on the Pfizer vaccine. The NIH recommended an antibody combo for outpatients and named long-term symptoms as post-acute sequelae of SARS-CoV-2 (PASC).
https://immattersacp.org/weekly/archives/2021/03/02/1.htm
2 Mar 2021
To lie down, perchance to sleep
Internists are good at picking up on obstructive sleep apnea, but chronic insomnia is underdiagnosed among a sleepy patient population.
https://immattersacp.org/archives/2017/09/to-lie-down-perchance-to-sleep.htm
1 Sep 2017
New research on Pfizer pill, mental disorders after COVID-19, vaccine reactions
A manufacturer-funded trial quantified the effectiveness of nirmatrelvir/ritonavir in outpatients. A retrospective study found veterans had more mental health diagnoses and received more antidepressants, benzodiazepines, and opioids after COVID-19, while two other studies looked at reactions to second and third doses of the vaccines.
https://immattersacp.org/weekly/archives/2022/02/22/1.htm
22 Feb 2022
Post-COVID-19 clinic director offers tips on lingering symptoms
The first step to treating patients with postacute sequelae of SARS-CoV-2 (PASC) is simple, one expert said: Believe them.
https://immattersacp.org/archives/2022/06/post-covid-19-clinic-director-offers-tips-on-lingering-symptoms.htm
1 Jun 2022
Apnea outcomes may be similar when treated by sleep specialist or nonspecialist
Low-strength evidence indicated that outcomes were similar whether care was provided by primary care physicians, sleep specialist nurses, or sleep specialist physicians, although study authors noted that non–sleep specialists were often highly experienced in sleep medicine.
https://immattersacp.org/weekly/archives/2018/01/30/4.htm
30 Jan 2018
Internists need to know coding for CPAP, observation services
There's more to internal medicine than evaluation and management services. Two of the more common of the uncommon services to code for include CPAP for sleep disorders, and guidance on billing for observation and same-day discharges.
https://immattersacp.org/archives/2011/04/coding.htm
1 Apr 2011
Multifactorial management advised for resistant hypertension
It is important to optimally manage lifestyle factors, such as weight, dietary sodium, alcohol, and physical inactivity, and management should also include long-acting thiazide-like diuretics and addition of a mineralocorticoid receptor antagonist, the statement said.
https://immattersacp.org/weekly/archives/2018/09/18/1.htm
18 Sep 2018
FDA releases action plan on artificial intelligence software
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2021/03/fda-releases-action-plan-on-artificial-intelligence-software.htm
1 Mar 2021
ACP policy paper calls for tighter management of prescription drugs
The American College of Physicians recommended 10 clinical and administrative changes that will make it harder for prescription drugs, such as those prescribed for pain, sleep disorders and weight loss, to be abused or diverted for sale on the street.
https://immattersacp.org/weekly/archives/2013/12/10/1.htm
10 Dec 2013