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Pinning down Parkinson's disease

The diagnosis requires constant questioning, as one expert at the 2022 International Congress on Parkinson's Disease and Movement Disorders explained.
https://immattersacp.org/archives/2023/05/pinning-down-parkinsons-disease.htm
1 May 2023

MKSAP Quiz: Follow-up for sleep apnea

A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 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

Personalized strategies improved cognition, reduced dementia risk in seniors

An intervention with personalized risk-reduction goals, health coaching, and nurse visits was offered to patients who were between the ages of 70 and 89 years and had at least two targeted risk factors for dementia.
https://immattersacp.org/weekly/archives/2023/12/05/2.htm
5 Dec 2023

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2022/11/latest-updates-on-acps-priorities-initiatives.htm
1 Nov 2022

Guideline issued on diagnostic testing for obstructive sleep apnea

Among other strong recommendations, clinical tools, questionnaires, and prediction algorithms are not recommended for obstructive sleep apnea diagnosis in adults in the absence of polysomnography or home sleep apnea testing.
https://immattersacp.org/weekly/archives/2017/03/21/4.htm
21 Mar 2017

Talking about migraines

Collecting good data is the first step in sorting through the many drugs and devices that are used to treat migraines.
https://immattersacp.org/archives/2019/07/talking-about-migraines.htm
1 Jul 2019

Cardiology groups issue guidance on heart failure

Among other recommendations, during a hospitalization for heart failure, measurement of a predischarge natriuretic peptide level can be useful to establish prognosis postdischarge.
https://immattersacp.org/weekly/archives/2017/05/02/2.htm
2 May 2017

New guidance urges caution on testosterone

Internists considering testosterone therapy are ideally positioned to consider a broader differential diagnosis that will actually help the patient.
https://immattersacp.org/archives/2020/05/new-guidance-urges-caution-on-testosterone.htm
1 May 2020

Recommendations issued for diagnosing, managing depression during menopause

Women with past major depressive episodes and women with severe depressive symptoms and/or suicidal ideation should always be evaluated for a mood disorder, among other recommendations.
https://immattersacp.org/weekly/archives/2018/09/11/2.htm
11 Sep 2018

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