Search results for "Sleep"
MKSAP Quiz: 1-year history of insomnia
An 87-year-old woman is evaluated for a 1-year history of bothersome insomnia. She reports taking up to 2 hours to fall asleep. She also feels that her sleep is less refreshing. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/11/21/3.htm
21 Nov 2023
Treatments recommended for chronic insomnia resistant to nonmedical interventions
The recommendations are intended to help clinicians choose a specific pharmacological agent for the treatment of chronic insomnia in adults when such treatment is indicated.
https://immattersacp.org/weekly/archives/2017/02/28/4.htm
28 Feb 2017
Why and how to monitor hypertension at home
Home measurement of high blood pressure overcomes variability inherent in office measurements, delivers better assessment of systolic pressure (and hence, of possible cardiovascular events) and offers a better chance of discontinuing drug therapy.
https://immattersacp.org/archives/2011/03/home.htm
1 Mar 2011
Physicians as patients with COVID-19
Physicians who contracted COVID-19 share their perspectives on how the disease has changed their personal and professional lives.
https://immattersacp.org/archives/2022/01/physicians-as-patients-with-covid-19.htm
1 Jan 2022
MKSAP Quiz: 6-month history of worsening exertional dyspnea
A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has severe COPD, previously with minimal exertional symptoms, but now notes activity-limiting shortness of breath when walking short distances. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratropium metered-dose inhaler. He has a 55-pack-year smoking history but quit when COPD was diagnosed. Following a physical exam, chest radiograph, and transthoracic echocardiogram, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/01/10/3.htm
10 Jan 2017
MKSAP Quiz: Evaluation for recurrent syncope
A 25-year-old man is evaluated for recurrent syncope. The syncopal episodes are abrupt and without prodrome and have occurred several times during the past year. Following a physical exam, lab studies, and ECG, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/06/mksap-quiz-evaluation-for-recurrent-syncope.htm
1 Jun 2023
MKSAP Quiz: Follow-up after polysomnography
A 42-year-old man is evaluated for follow-up after a diagnosis of moderate obstructive sleep apnea 6 weeks ago. His daytime alertness has improved with continuous positive airway pressure, but the apparatus is cumbersome to transport on his frequent business trips. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/08/15/3.htm
15 Aug 2023
Updated advice on anxiety screening
The U.S. Preventive Services Task Force recently concluded that for adults up to age 65 years, including those who are pregnant or postpartum, screening for anxiety is beneficial and should be conducted routinely in primary care.
https://immattersacp.org/archives/2023/10/updated-advice-on-anxiety-screening.htm
1 Oct 2023
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
Patients with Hashimoto disease and symptoms despite medication may benefit from thyroidectomy
Follow-up of a small randomized trial in Norway found that total thyroidectomy improved symptoms for up to five years but that complication rates were higher than expected.
https://immattersacp.org/weekly/archives/2023/11/28/4.htm
28 Nov 2023