Search results for "Neurology"
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
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
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
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
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
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: 2-year history of migraine
A 20-year-old man is evaluated for a 2-year history of migraine that began when he started college. Migraine episodes occur 6 to 12 days per month, with more frequent episodes associated with increased stress from difficult assignments or final examinations. All physical examination findings, including vital signs, are unremarkable. What is the most appropriate preventive measure?
https://immattersacp.org/weekly/archives/2024/03/12/3.htm
12 Mar 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
ACP goes to Boston to tackle topics new and old
ACP's Internal Medicine Meeting 2024 will kick off with a look at artificial intelligence and its impact on medicine, as well as developments in new technology throughout the field.
https://immattersacp.org/archives/2024/03/acp-goes-to-boston-to-tackle-topics-new-and-old.htm
1 Mar 2024
Prophylactic injectable monoclonal antibody reduced migraine days, industry trial finds
Compared with nonspecific oral drugs, patients treated with erenumab were six times more likely to achieve 50% or more reduction in monthly migraine days and were 11 times more likely to complete the treatment on the first attempt, authors reported.
https://immattersacp.org/weekly/archives/2024/04/02/4.htm
2 Apr 2024