Search results for "Neurology"
MKSAP Quiz: Difficulty holding head upright
A 71-year-old woman is evaluated for difficulty holding her head upright. She notes that her head feels heavy and reports intermittent difficulty with swallowing and speech that is worse in the evening. She has had no pain, sensory changes, weakness in the extremities, or cognitive or visual symptoms. Following a physical exam, lab studies, and other testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/03/10/3.htm
10 Mar 2020
Seeking clarity for opioid prescribing
Doctors continue to be frustrated by their patients' chronic pain problems, due to a lack of evidence on opioids' long-term effectiveness and strong evidence of potential harms.
https://immattersacp.org/archives/2015/04/opioids.htm
1 Apr 2015
MKSAP Quiz: 4-week history of lower extremity weakness
A 52-year-old man is evaluated for 4-week history of left lower extremity weakness that began with tripping on the left foot. He now must lift his knee to clear his foot off the ground. He reports no pain but has mild tingling on the lateral border of his left foot. Following a physical exam, lab test, and electromyogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/01/18/3.htm
18 Jan 2022
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
How to start an NP/PA program
Clarifying the goals behind hiring nurse practitioners (NPs) and physician assistants (PAs) will help hospital program leaders choose the most suitable model for integrated care.
https://immattersacp.org/archives/2019/05/how-to-start-an-npslashpa-program.htm
1 May 2019
MKSAP Quiz: Recent worsening of balance in Parkinson disease
A 76-year-old man is evaluated for recent worsening of balance. He has no dizziness or lightheadedness. The patient has an 8-year history of Parkinson disease treated with carbidopa-levodopa and entacapone. Findings from physical, cognitive, cerebellar, and sensory examinations are unremarkable. Which of the following is the most appropriate test to determine the patient's risk of falling backward?
https://immattersacp.org/weekly/archives/2020/11/03/3.htm
3 Nov 2020
Protective equipment for physicians' mental health
The Emotional PPE Project is a nonprofit directory that connects health care workers with licensed mental health professionals, which has become particularly important during the COVID-19 pandemic.
https://immattersacp.org/archives/2021/09/protective-equipment-for-physicians-mental-health.htm
1 Sep 2021
Anti-inflammatory agents may effectively, safely curb major depressive symptoms, study finds
A pooled data analysis looked at depression treatment trials that compared NSAIDs, omega-3 fatty acids, cytokine inhibitors, statins, steroids, minocycline, modafinil, or N-acetylcysteine to placebo.
https://immattersacp.org/weekly/archives/2019/11/05/4.htm
5 Nov 2019
E-consults can empower, burden physicians
E-consults, which have become more common, increase access to subspecialty expertise but can increase stress on primary care clinicians due to the administrative time and clinical effort that they require.
https://immattersacp.org/archives/2018/10/e-consults-can-empower-burden-physicians.htm
1 Oct 2018
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