Search results for "Dementia"
Longer lifespans emerge in Down syndrome
Transitioning a patient with Down syndrome from a pediatric practice to an adult physician can be challenging due to a lack of willing physicians, who may not feel that they know enough to provide care.
https://immattersacp.org/archives/2021/02/longer-lifespans-emerge-in-down-syndrome.htm
1 Feb 2021
Subclinical hypothyroidism prompts personalized decisions
For diagnosing and managing subclinical hypothyroidism, clinical context such as age and symptoms matter, even in the face of an incomplete understanding of the condition.
https://immattersacp.org/archives/2021/02/subclinical-hypothyroidism-prompts-personalized-decisions.htm
1 Feb 2021
Nondrug therapies outperformed drugs for depression symptoms in dementia, review finds
Massage and touch therapy, cognitive stimulation combined with a cholinesterase inhibitor, and cognitive stimulation combined with exercise and social interaction were more efficacious for symptoms of depression in people with dementia and without a diagnosis of a major depressive disorder.
https://immattersacp.org/weekly/archives/2021/03/30/4.htm
30 Mar 2021
Treatment preferences do not vary by cognitive function in older patients, study finds
A cross-sectional survey at two U.S. academic medical centers asked older outpatients with mild cognitive impairment and normal cognition as well as patient-designated surrogates about treatment preferences in six health scenarios.
https://immattersacp.org/weekly/archives/2021/05/18/2.htm
18 May 2021
MKSAP Quiz: Follow-up evaluation of dementia
A 53-year-old woman is brought to the office by her husband for follow-up evaluation of behavioral-variant frontotemporal dementia, which was diagnosed 9 months ago. Her clinical symptoms of occasional aphasia, minor memory impairment, behavioral disinhibition, and obsessive-compulsive behaviors have worsened since diagnosis and have become disruptive. Her husband asks about possible medications to control her symptoms. What is the most appropriate medication to recommend?
https://immattersacp.org/weekly/archives/2021/06/08/3.htm
8 Jun 2021
Reflections on caring for parents with dementia
In a recent column at KevinMD, Philip A. Masters, MD, FACP, described how dealing with cognitive decline in his own family led to greater appreciation of the sustained emotional impact of this condition, not only on patients but also on their loved ones and those who care for them.
https://immattersacp.org/weekly/archives/2021/07/27/6.htm
27 Jul 2021
Guideline provides clinical recommendations for treating hypersomnolence disorders
The American Academy of Sleep Medicine guideline provides recommendations for clinicians choosing prescription drugs to treat disorders such as narcolepsy, idiopathic hypersomnia, and hypersomnolence secondary to other conditions.
https://immattersacp.org/weekly/archives/2021/08/10/5.htm
10 Aug 2021
MKSAP Quiz: A 3-year history of decline in cognition
A 60-year-old man is evaluated for a 3-year history of gradual, progressive decline in his cognition, behavior, and motor skills. Following a physical exam, MRI, and neuropsychological testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/28/3.htm
28 Sep 2021
Menopausal hormone therapy not associated with increased dementia risk
The findings of this retrospective study in the United Kingdom should reassure women taking menopausal hormonal therapy but do not support its use to prevent dementia, a linked opinion piece said.
https://immattersacp.org/weekly/archives/2021/10/05/5.htm
5 Oct 2021
MKSAP Quiz: Prevent cognitive impairment
A 60-year-old woman comes to the office to discuss the best strategy to prevent cognitive impairment. After a physical exam and cognitive screening testing, what is the most effective preventive measure?
https://immattersacp.org/weekly/archives/2021/11/16/3.htm
16 Nov 2021