Search results for "Lupus"
MKSAP Quiz: Decreased exercise tolerance
A 62-year-old woman is evaluated for a 4-month history of decreased exercise tolerance, joint stiffness, mild weakness, and a rash on her hands. She has noted increasing difficulty carrying heavy objects and feels exhausted after climbing stairs. Although her joints are stiff, she has not had any joint swelling. Her rash developed around the time of her other symptoms and has not responded to over-the-counter topical agents. She has no other symptoms, including cough or dyspnea. Medical history is unremarkable, and she takes no medications. Follow a physical exam, cardiopulmonary exam, and lab studies, which of the following pulmonary conditions is associated with this patient's clinical presentation?.
https://immattersacp.org/archives/2016/05/mksap.htm
1 May 2016
MKSAP Quiz: Oral dryness without ocular dryness
A 57-year-old woman is evaluated for fatigue, generalized achiness, and oral dryness without ocular dryness. Following a physical exam and lab studies, what is the most likely cause of this patient's oral dryness?
https://immattersacp.org/weekly/archives/2022/11/08/3.htm
8 Nov 2022
Long-term low-dose hydroxychloroquine use associated with low risk for retinopathy
A higher hydroxychloroquine dose was associated with progressively greater risk.
https://immattersacp.org/weekly/archives/2023/01/17/2.htm
17 Jan 2023
Getting dialysis for undocumented patients
Undocumented immigrants in the U.S. with end-stage kidney disease (ESKD) number in the thousands, and new programs and policies are allowing them to tap into dialysis before their condition warrants emergency treatment.
https://immattersacp.org/archives/2021/02/getting-dialysis-for-undocumented-patients.htm
1 Feb 2021
MKSAP Quiz: 1-month history of rash
A 52-year-old woman is evaluated for a 1-month history of a spreading rash on her back, chest, and arms. She has been using over-the-counter topical glucocorticoids without relief. She does not have any other associated symptoms and otherwise feels well. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2018/09/mksap-quiz-1-month-history-of-rash.htm
1 Sep 2018
MKSAP Quiz: Evaluation for left lower extremity ulcer
A 50-year-old man is evaluated for a left lower extremity ulcer. He has a 15-year history of worsening arthritis for which he has never been evaluated. He takes ibuprofen as needed. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/08/27/3.htm
27 Aug 2019
MKSAP Quiz: 3-month history of rash
A 46-year-old woman is evaluated for a 3-month history of a rash during the summertime. She is otherwise well and takes no medications. Following a physical exam, exam of the rash, and lab studies, what is the most likely diagnosis?.
https://immattersacp.org/archives/2016/03/mksap.htm
1 Mar 2016
MKSAP Quiz: ‘Sun allergy’
A 62-year-old woman is evaluated for a “sun allergy,” manifesting as a rash on her scalp, eyelids, upper back, and knuckles. This started 2 years ago, but is less pronounced over the winter months. Her only medication is hydrocortisone cream. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/11/06/3.htm
6 Nov 2018
MKSAP Quiz: Red, scaly skin lesions
A 37-year-old man is evaluated for a 4-month history of progressively worsening red, scaly lesions involving the scalp, trunk, and extremities. During the past month, he also has had pain in the hands and feet and has lost 4.5 kg (10.0 lb). Aspirin and acetaminophen have helped to relieve his joint symptoms. He does not drink alcoholic beverages, has no other medical problems, and takes no additional medications. He denies allergies. He has sex with men and women and uses condoms inconsistently. What diagnostic studies should be performed next in this patient?.
https://immattersacp.org/archives/2011/03/mksap.htm
1 Mar 2011
Handling hoarseness, hearing problems in primary care
Internists can help patients cope with common ENT conditions like hoarseness, tinnitus, and hearing loss.
https://immattersacp.org/archives/2021/06/handling-hoarseness-hearing-problems-in-primary-care.htm
1 Jun 2021