Search results for "Sleep"
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
More tools available for treating IBS
Irritable bowel syndrome (IBS) is not a new disorder, but physicians' understanding of its pathophysiology and treatment has greatly progressed over the years.
https://immattersacp.org/archives/2023/01/more-tools-available-for-treating-ibs.htm
1 Jan 2023
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
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
Understand obesity before treating it
The central nervous system regulates a person's weight, with many variables in play, and both internal and external factors can increase or decrease calorie intake and expenditure.
https://immattersacp.org/archives/2021/06/understand-obesity-before-treating-it.htm
1 Jun 2021
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
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
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
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
MKSAP Quiz: Evaluation for daytime sleepiness
A 72-year-old man is evaluated for daytime sleepiness. His wife notes that he snores. He sleeps 8 hours each night. On most days of the week, he feels sleepy and will nap for 45 minutes. Following a physical exam and review of a previous procedure, what is the most appropriate test?
https://immattersacp.org/weekly/archives/2023/08/08/3.htm
8 Aug 2023