Search results for "Rheumatology"
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: 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
Early interventions overlooked in OA
Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
https://immattersacp.org/archives/2013/05/osteoarthritis.htm
1 May 2013
Noninvasive treatment almost always best for knee pain
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
https://immattersacp.org/archives/2016/04/knees.htm
1 Apr 2016
The importance of ‘the caring’
The fragmented health delivery system in which physicians maneuver can interfere with patients' perception of how much a clinician cares.
https://immattersacp.org/archives/2019/06/the-importance-of-the-caring.htm
1 Jun 2019
MKSAP Quiz: 8-year history of joint pain
A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2017/05/mksap.htm
1 May 2017
MKSAP quiz: Woman complains of joint pain and stiffness
A 56-year-old woman is evaluated for a 2-year history of joint pain and stiffness of the hands.
https://immattersacp.org/archives/2009/05/mksap.htm
1 May 2009
MKSAP Quiz: a 5-day history of knee pain and swelling
A 69-year-old woman is evaluated for a 5-day history of pain and swelling in the right knee that developed after a prolonged period of gardening in her backyard. This week's MKSAP question asks readers to determine the most likely diagnosis.
https://immattersacp.org/weekly/archives/2011/06/28/3.htm
28 Jun 2011
Novel drug plus DMARDs may improve control of rheumatoid arthritis
Tofacitinib improved disease control in patients with active rheumatoid arthritis despite treatment with nonbiologic disease-modifying, anti-rheumatic drugs (DMARDs) compared to placebo, a study found.
https://immattersacp.org/weekly/archives/2013/08/20/5.htm
20 Aug 2013
Lupus presentation may be an ‘imitator’
Lupus can involve multiple organ systems and shares the same, sometimes nonspecific presentation as other conditions. But a diligent internist##mdash;an “excellent generalist” in the words of one expert##mdash;can pick up on the correct diagnosis.
https://immattersacp.org/archives/2014/11/lupus.htm
1 Nov 2014