Search results for "Rheumatology"
MKSAP Quiz: Recently worsening joint symptoms
A 49-year-old woman is evaluated for recently worsening joint symptoms. She has a 13-year history of Crohn disease characterized by four to six stools daily and mild crampy abdominal pain. She also has a 1-year history of arthritis. Following a physical exam, what is the most appropriate long-term treatment?
https://immattersacp.org/weekly/archives/2018/10/23/3.htm
23 Oct 2018
MKSAP Quiz: Follow-up for ankylosing spondylitis
A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain with morning stiffness lasting 20 minutes. She is able to pursue her activities of daily living without any restrictions. Following a physical exam, lab studies, and radiography, what should be performed next?
https://immattersacp.org/weekly/archives/2018/08/21/3.htm
21 Aug 2018
ACP releases Spanish-language edition of MKSAP 18
The Spanish-language version will help Latin American and Spanish internists, subspecialists, and primary care physicians upgrade their knowledge and prepare for board certification.
https://immattersacp.org/weekly/archives/2019/12/17/6.htm
17 Dec 2019
MKSAP Quiz: Painless intermittent bloody urine
A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks' duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for 3 years and oral cyclophosphamide for 1 year. Following a physical exam, lab studies, and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/06/12/3.htm
12 Jun 2018
ACR guideline recommends customized approach for prevention of glucocorticoid-induced osteoporosis
Recommendations include treating only with calcium and vitamin D in adults at low fracture risk, and adding an additional osteoporosis medication (oral bisphosphonate preferred) in adults at moderate to high fracture risk.
https://immattersacp.org/weekly/archives/2017/06/20/2.htm
20 Jun 2017
Obituary
Robert “Bob” B. Gibbons, MD, MACP, died on March 13, 2019, at age 81.
https://immattersacp.org/archives/2019/04/obituary.htm
1 Apr 2019
MKSAP Quiz: 1-month history of progressive rash
A 22-year-old woman is evaluated for a 1-month history of progressive rash on the face, chest, and arms following sun exposure. She also has experienced wrist arthralgia and malaise for the past 2 weeks. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/05/mksap-quiz-1-month-history-of-progressive-rash.htm
1 May 2022
MKSAP Quiz: Follow-up visit for systemic lupus erythematosus
A 30-year-old woman is evaluated during a follow-up visit for systemic lupus erythematosus. She was diagnosed 3 months ago after presenting with pericarditis and arthritis. She was initially treated with prednisone, 40 mg/d, with improvement of her presenting symptoms. The prednisone has been tapered over 3 months to her current dose of 10 mg/d with no recurrence. Following a physical and cardiac exam, what is the most appropriate next step in treating this patient?
https://immattersacp.org/weekly/archives/2018/03/06/3.htm
6 Mar 2018
MKSAP Quiz: 6-month history of diffuse muscle and joint pain
This week's quiz asks readers to evaluate a 25-year-old woman with a 6-month history of diffuse muscle and joint pain, fatigue, and difficulty sleeping.
https://immattersacp.org/weekly/archives/2012/01/10/3.htm
10 Jan 2012
E-consults can empower, burden physicians
E-consults, which have become more common, increase access to subspecialty expertise but can increase stress on primary care clinicians due to the administrative time and clinical effort that they require.
https://immattersacp.org/archives/2018/10/e-consults-can-empower-burden-physicians.htm
1 Oct 2018