Search results for "Antibiotics"
‘UTI’ an overused diagnosis in the era of the microbiome
An evolving understanding of urinary tract infections has led one expert to describe them as an “ambiguous, expansive, overused diagnosis” that can lead to the myriad harms of antibiotic overtreatment.
https://immattersacp.org/archives/2018/02/uti-an-overused-diagnosis-in-the-era-of-the-microbiome.htm
1 Feb 2018
Trying to temper a 'twindemic'
This issue addressed the upcoming flu season amid the COVID-19 pandemic, policies around mammography, and medical tourism.
https://immattersacp.org/archives/2021/10/trying-to-temper-a-twindemic.htm
1 Oct 2021
Inappropriate antibiotic prescriptions for Medicare patients have slightly decreased in recent years
Efforts to reduce outpatient antibiotic prescribing may have incurred a shift among options rather than a substantially reduced amount of antibiotic use.
https://immattersacp.org/weekly/archives/2018/08/07/5.htm
7 Aug 2018
MKSAP Quiz: 5-day history of a lesion
A 31-year-old woman is evaluated for a 5-day history of a nonpainful cutaneous lesion on the back of her left hand. She works as a packer in a parcel distribution center. She does not recall injury to this area and reports no unusual employment or recreational exposures. She has not had fever, cough, shortness of breath, headache, chest discomfort, or gastrointestinal symptoms. Yesterday, two coworkers were evaluated for similar lesions. Her husband has recently been prescribed an antibiotic after being diagnosed with a “boil” from which methicillin-resistant Staphylococcus aureus was cultured. Her only medication is an oral contraceptive pill. What is the most appropriate management?
https://immattersacp.org/archives/2018/02/mksap-quiz-5-day-history-of-a-lesion.htm
1 Feb 2018
Success with STIs causes complacency
Progress made in combating HIV has caused people to feel a greater sense of security around sex and less worry about bacterial sexually transmitted infections.
https://immattersacp.org/archives/2020/04/success-with-stis-causes-complacency.htm
1 Apr 2020
MKSAP Quiz: evaluation of painful nodules and rash
A 21-year-old woman is evaluated for a 3-week history of painful nodules and a rash in the lower extremities, along with pain and swelling of the wrists, knees, and ankles. She reports a low-grade fever and a 2.7-kg (6.0-lb) weight loss since the onset of symptoms. She has taken naproxen with some relief. History is significant for gastroesophageal reflux disease and acne. Medications are over-the-counter famotidine as needed and minocycline. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/11/03/3.htm
3 Nov 2015
MKSAP Quiz: burning sensation, increasing redness, and lesions
A 52-year-old woman had a burning sensation involving the right side of her forehead and the tip of her nose for 2 days, followed by increased redness and the development of lesions involving the tip of her nose. Medical history is significant for hypertension, and her only medication is ramipril. Following a physical exam and starting antiviral medications, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/09/29/3.htm
29 Sep 2015
Weight loss, MOC featured in meeting coverage
This issue covers the wrap-up of news from Internal Medicine Meeting 2017.
https://immattersacp.org/archives/2017/06/editors.htm
1 Jun 2017
MKSAP Quiz: Lower abdominal pain, vaginal discharge
A 26-year-old woman is evaluated in the emergency department for lower abdominal pain with vaginal discharge. She reports no nausea or vomiting but noted vaginal bleeding after intercourse the previous night. Following a physical exam and negative urine pregnancy test, what is the most appropriate empiric treatment?
https://immattersacp.org/archives/2019/03/mksap-quiz-lower-abdominal-pain-vaginal-discharge.htm
1 Mar 2019
Trimethoprim-sulfamethoxazole plus spironolactone may increase hyperkalemia risk in elderly
Elderly patients taking spironolactone and trimethoprim-sulfamethoxazole may be at increased risk for hospitalization due to hyperkalemia, according to a new study.
https://immattersacp.org/weekly/archives/2011/09/27/2.htm
27 Sep 2011