Search results for "Sleep Disorders"
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-month history of headaches and blurred vision
A 65-year-old man is evaluated for a 1-month history of headaches and blurred vision, early satiety, and itching that occurs after showering. He has a 90-pack-year smoking history. Following physical, cardiopulmonary and neurologic examinations, what is the most appropriate next step in diagnosis?
https://immattersacp.org/weekly/archives/2012/12/04/3.htm
4 Dec 2012
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
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
Sussing out sleep apnea disorders
Given the prevalence of poor sleep habits, determining sleep apnea can be difficult during a time-pressed visit. Asking the rights questions is key.
https://immattersacp.org/archives/2015/03/apnea.htm
1 Mar 2015
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
For effective smoking cessation, turn ambivalence into action
Smokers sometimes want to want to quit. The ambivalence is the effect of nicotine, which rewires the brain. Instead of being wary of the patient's mixed feelings, use them as a sign to try nicotine replacement therapy systems that make the cravings more manageable.
https://immattersacp.org/archives/2014/06/smoking.htm
1 Jun 2014
MKSAP Quiz: 6-month history of severe fatigue
A 47-year-old woman is evaluated for a 6-month history of severe fatigue in the afternoon that is often disabling. The patient has a 15-year history of multiple sclerosis. She describes no problems with her sleep, and her partner reports no unusual movements or apnea spells. In the morning, she feels well rested. Physical and neurologic examination findings, including vital signs, are normal. Following lab results, what is the most appropriate treatment of her fatigue?
https://immattersacp.org/weekly/archives/2013/09/10/3.htm
10 Sep 2013
‘Gently does it,’ caring for adults with autism
With autism rates at 1 in 150, you can be absolutely sure you have patients with autism in your practice. Practical tips ease transitions from pediatric care into adulthood, and easier ways to examine, care for and understand autistic patients.
https://immattersacp.org/archives/2008/11/autism.htm
1 Nov 2008
Inexpensive drug, automated phone system effective in helping patients quit
Two potentially low-cost smoking cessation treatments were evaluated in studies published last week.
https://immattersacp.org/weekly/archives/2014/12/23/4.htm
23 Dec 2014