Search results for "Neurology"
MKSAP Quiz: Evaluation for mild dementia
A 65-year-old man is evaluated for a 3-year history of mild dementia with fluctuations in attentiveness and visual hallucinations. He has also acted out his dreams in his sleep a few times over the last 2 years. He has no history of tremor. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/12/17/3.htm
17 Dec 2024
Alzheimer's advances pose challenges
A new test and new treatments for Alzheimer's disease may offer patients hope but could also raise more questions than they answer, with careful balancing of risks and benefits required.
https://immattersacp.org/archives/2024/11/alzheimers-advances-pose-challenges.htm
1 Nov 2024
Daytime sleepiness associated with cognitive issues, slow gait speed
Older adults with poor sleep were more likely to develop motoric cognitive risk syndrome, a predementia syndrome characterized by slow gait speed and cognitive symptoms, with depression appearing to explain some of the association.
https://immattersacp.org/weekly/archives/2024/11/12/2.htm
12 Nov 2024
Better diagnosis, treatment of PCOS
Up to 70% of women with polycystic ovary syndrome (PCOS) go undiagnosed and one-third experience diagnostic delays of more than two years.
https://immattersacp.org/archives/2024/09/better-diagnosis-treatment-of-pcos.htm
1 Sep 2024
MKSAP Quiz: Slow, labored gait in a patient with MS
A 55-year-old man with relapsing-remitting multiple sclerosis (MS) is evaluated for a slow, labored gait that began after a relapse 1 year ago. The symptom has not worsened during this time, but he reports that it interferes with his ability to work. Following a physical exam, what intervention is most likely to improve this patient's ambulation?
https://immattersacp.org/weekly/archives/2024/09/24/3.htm
24 Sep 2024
Sorting out vertigo
A shift in diagnostic approach for vertigo involves asking about the timing and triggers for episodes rather than a description of symptoms.
https://immattersacp.org/archives/2024/01/sorting-out-vertigo.htm
1 Jan 2024
Discontinuing OAC associated with heightened risk of recurrent stroke, study finds
Among patients with atrial fibrillation prescribed oral anticoagulation (OAC) after a stroke, recurrent stroke rates were 13.4% versus 6.8% in those who did and did not discontinue OAC therapy, a Danish study found.
https://immattersacp.org/weekly/archives/2024/07/02/4.htm
2 Jul 2024
Neurology guidelines rate migraine prophylaxis options
Prescription, over-the-counter and complementary treatments for migraine prevention were evaluated in two new guideline updates from the American Academy of Neurology.
https://immattersacp.org/weekly/archives/2012/05/01/2.htm
1 May 2012
Keys to taking a neurological history
The most powerful tool in neurology is the history and physical exam, including the requirement that patients walk in the presence of neurologists, in order to better understand symptoms.
https://immattersacp.org/archives/2016/07/neurology.htm
1 Jul 2016
MKSAP Quiz: Twisting movements of neck, extremities
A 64-year-old man is evaluated for recent emergence of involuntary twisting movements of his neck and extremities. Parkinson disease was diagnosed 8 years ago. Mobility and fatigue improve after each dose of carbidopa-levodopa. Following a physical exam, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2024/06/18/3.htm
18 Jun 2024