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Continuum: Lifelong Learning in Neurology

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https://www.readbyqxmd.com/read/29851891/learning-objectives-and-core-competencies
#1
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851890/erratum
#2
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851886/coding-for-behavioral-neurology-and-psychiatry
#3
Raissa Villanueva, Bruce H Cohen
Medical coding is highly technical, and proper use of both Current Procedural Terminology (CPT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is difficult because of the considerable detail of the code definitions, the changes implemented yearly, and the vast change a few years ago with the transition to ICD-10-CM. Although basic office visit and hospital visit Evaluation and Management (E/M) codes have not changed in decades, new cognitive care codes have been added to the cognitive codes that fall under E/M...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851885/assessment-of-medical-decision-making-capacity-in-patients-with-dementia
#4
Joshua J Rodgers, Joseph S Kass
Medical decision-making capacity, the patient's ability to exercise autonomy reasonably, is an essential component of both informed consent and informed refusal. The assessment of medical decision-making capacity is thus fundamental to the ethical practice of medicine. Medical decision-making capacity is not all or nothing but rather exists on a continuum and should be assessed on a decision-by-decision basis. Alzheimer disease and other neurocognitive disorders can affect a patient's medical decision-making capacity and may pose special challenges to capacity assessment...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851884/diagnosis-and-management-of-anxiety-disorders
#5
Peter Giacobbe, Alastair Flint
PURPOSE OF REVIEW: This article provides a synopsis of the current understanding of the pathophysiology of anxiety disorders, the biological and environmental risk factors that contribute to their development and maintenance, a review of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria, and a practical approach to the treatment of anxiety disorders in adults. RECENT FINDINGS: Despite the ubiquity of anxiety, the evidence is that most individuals with an anxiety disorder are not identified and do not receive guideline-level care...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851883/assessment-and-management-of-posttraumatic-stress-disorder
#6
Janet Ellis, Ari Zaretsky
PURPOSE: The goal of this article is to increase clinicians' understanding of posttraumatic stress disorder (PTSD) and improve skills in assessing risk for and diagnosing PTSD. The importance and sequelae of lifetime trauma burden are discussed, with reference to trends in prevention, early intervention, and treatment. RECENT FINDINGS: PTSD has different clinical phenotypes, which are reflected in the changes in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851882/conversion-disorder
#7
Anthony Feinstein
PURPOSE OF REVIEW: This article provides a broad overview of conversion disorder, encompassing diagnostic criteria, epidemiology, etiologic theories, functional neuroimaging findings, outcome data, prognostic indicators, and treatment. RECENT FINDINGS: Two important changes have been made to the recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria: the criteria that conversion symptoms must be shown to be involuntary and occurring as the consequence of a recent stressor have been dropped...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851881/psychosis
#8
Lindsey A Schrimpf, Arpit Aggarwal, John Lauriello
PURPOSE OF REVIEW: Psychosis is a psychiatric condition that has significant overlap with neurologic disease. This article is intended to educate the neurologist on the psychiatric manifestations of psychosis and its evaluation, diagnosis, and treatment. How to differentiate a primary psychiatric cause of psychosis from psychosis secondary to a medical or neurologic condition is also reviewed. RECENT FINDINGS: Current research in psychotic disorders has focused increasingly on negative symptoms and cognitive impairment in psychotic illness, as it is now recognized that these cause the greatest impact on functional deficits for patients...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851880/obsessive-compulsive-disorder
#9
Peggy M A Richter, Renato T Ramos
PURPOSE OF REVIEW: This article reviews current knowledge regarding diagnosis, pathophysiology, and treatment trends in obsessive-compulsive disorder (OCD), a severe, underrecognized, and chronic condition frequently encountered in neurologic practice. RECENT FINDINGS: With a lifetime prevalence estimated at 2.5%, OCD is a common condition that can also present comorbidly with neurologic disease. The core symptoms of OCD are obsessions and compulsions. Obsessions are intrusive repetitive thoughts, urges, images, or impulses that trigger anxiety and that the individual is not able to suppress...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851879/mood-disorders
#10
Jeffrey Rakofsky, Mark Rapaport
PURPOSE OF REVIEW: This article discusses the prevalence of the major mood disorders (major depressive disorder and bipolar disorder) in the community and within neurologic settings, articulates the steps taken to make a diagnosis of major depressive disorder or bipolar disorder, and reviews old and newer treatment options with proven efficacy for the treatment of these two conditions. RECENT FINDINGS: New medications are available as treatment options for major depressive disorder and bipolar disorder, such as intranasal and IV ketamine, and somatic treatments, such as deep brain stimulation and vagal nerve stimulators, are being used to target treatment-resistant depression...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851878/aggression-and-agitation-in-dementia
#11
M Uri Wolf, Yael Goldberg, Morris Freedman
PURPOSE OF REVIEW: This article reviews the treatment of aggression and agitation in dementia. Both nonpharmacologic and pharmacologic approaches to responsive behaviors are discussed. Practical treatment strategies are applied to common behavioral symptoms. RECENT FINDINGS: Aggressive and agitated behavior is common in dementia. Behavioral symptoms lead to reduced quality of life and distress for both patients and caregivers. They can also lead to poor outcomes and are associated with significant financial implications for the individual and health care system...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851877/apraxia-neglect-and-agnosia
#12
H Branch Coslett
PURPOSE OF REVIEW: In part because of their striking clinical presentations, disorders of higher nervous system function figured prominently in the early history of neurology. These disorders are not merely historical curiosities, however. As apraxia, neglect, and agnosia have important clinical implications, it is important to possess a working knowledge of the conditions and how to identify them. RECENT FINDINGS: Apraxia is a disorder of skilled action that is frequently observed in the setting of dominant hemisphere pathology, whether from stroke or neurodegenerative disorders...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851876/primary-progressive-aphasia-and-stroke-aphasia
#13
Murray Grossman, David J Irwin
PURPOSE OF REVIEW: This article summarizes the clinical and anatomic features of the three named variants of primary progressive aphasia (PPA): semantic variant PPA, nonfluent/agrammatic variant PPA, and logopenic variant PPA. Three stroke aphasia syndromes that resemble the PPA variants (Broca aphasia, Wernicke aphasia, and conduction aphasia) are also presented. RECENT FINDINGS: Semantic variant PPA and Wernicke aphasia are characterized by fluent speech with naming and comprehension difficulty; these syndromes are associated with disease in different portions of the left temporal lobe...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851875/memory-dysfunction
#14
G Peter Gliebus
PURPOSE OF REVIEW: This article reviews the current understanding of memory system anatomy and physiology, as well as relevant evaluation methods and pathologic processes. RECENT FINDINGS: Our understanding of memory formation advances each year. Successful episodic memory formation depends not only on intact medial temporal lobe structures but also on well-orchestrated interactions with other large-scale brain networks that support executive and semantic processing functions...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851874/clinical-assessment-of-prefrontal-lobe-functions
#15
Alexandre Henri-Bhargava, Donald T Stuss, Morris Freedman
PURPOSE OF REVIEW: Whereas it was previously thought that there was a single overarching frontal lobe syndrome, it is now clear that several distinct cognitive and behavioral processes are mediated by the frontal lobes. This article reviews these processes and the underlying neuroanatomy and provides an approach to the assessment of prefrontal lobe functions at the bedside. RECENT FINDINGS: Cognitive and behavioral frontal lobe functions are mediated by the prefrontal regions rather than the frontal lobes as a whole...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851873/bedside-approach-to-the-mental-status-assessment
#16
David F Tang-Wai, Morris Freedman
PURPOSE OF REVIEW: This article presents a clinically useful approach to obtaining the history and performing the mental status examination of patients with cognitive, language, or behavioral problems. RECENT FINDINGS: Laboratory and imaging biomarkers are being developed for accurate diagnosis of neurobehavioral disorders, yet few are currently available for clinical use. Moreover, not all centers have access to these potential tools. Practicing clinicians are therefore left primarily with their skills of history taking and examination...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851872/reversing-neglect-and-amnesia-for-cognitive-behavioral-and-psychiatric-disorders
#17
Steven L Lewis
No abstract text is available yet for this article.
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613907/appendix
#18
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613906/learning-objectives-and-core-competencies
#19
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613902/liability-for-referrals-to-other-physicians
#20
Joseph S Kass
This article presents four hypothetical cases that demonstrate ways in which neurologists may be vulnerable to liability for how they manage patients they refer to other physicians for consultations. This article also discusses the importance of protecting neurologists from claims of negligence through documentation, which includes the rationale for ordering a consultation, deferring a consultation, or disagreeing with a consultant's recommendations. Lastly, the article discusses the importance of including patients in the decision-making process and detailing these conversations in the medical record...
April 2018: Continuum: Lifelong Learning in Neurology
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