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MKSAP Quiz: Evaluation for daytime sleepiness

A 31-year-old woman is evaluated for a 1-year history of daytime sleepiness. She falls asleep while watching TV, at the theater, and occasionally during a meal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/06/15/3.htm
15 Jun 2021

CBT improved severe fatigue after COVID-19, Dutch trial finds

After randomization, patients with severe fatigue three to 12 months after COVID-19 infection benefited from cognitive behavioral therapy (CBT) compared to usual care.
https://immattersacp.org/weekly/archives/2023/05/16/2.htm
16 May 2023

MKSAP Quiz: Evaluation for stiffness and pain

A 43-year-old man is evaluated for knee, hip, shoulder, and arm stiffness, worsening over the past year. He also has pain in the arms, legs, neck, and torso, both on and between the joints. He states that his discomfort is continuous. After a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/06/16/3.htm
16 Jun 2020

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

New guideline encourages use of cognitive behavioral therapy for insomnia in adults

The American Academy of Sleep Medicine's guideline update addresses use of multicomponent brief therapies for insomnia, as well as single therapies such as stimulus control and relaxation therapy.
https://immattersacp.org/weekly/archives/2020/12/22/5.htm
22 Dec 2020

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

Meta-analysis finds no association between beta-blocker therapy, depression

Beta-blockers did not appear to affect depression or other psychiatric adverse events, with the possible exception of sleep-related disorders, a recent study found.
https://immattersacp.org/weekly/archives/2021/03/23/5.htm
23 Mar 2021

Tips for workplace wellness

With nearly 63% of physicians reporting one or more signs of burnout, two experts offered advice on making changes to help prevent it.
https://immattersacp.org/archives/2023/07/tips-for-workplace-wellness.htm
1 Jul 2023

OTC birth control pill, naloxone gain approval

This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2023/09/otc-birth-control-pill-naloxone-gain-approval.htm
1 Sep 2023

Screen cardiovascular disease patients for sleep apnea, AHA recommends

The prevalence of obstructive sleep apnea is as high as 40% to 80% in patients with hypertension, heart failure, coronary artery disease, pulmonary hypertension, atrial fibrillation, or stroke, according to a new scientific statement from the American Heart Association (AHA).
https://immattersacp.org/weekly/archives/2021/06/29/2.htm
29 Jun 2021

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