Search results for "Rheumatology"
MKSAP Quiz: 1-year history of lower extremity edema
This week's quiz asks readers to determine the most likely diagnosis for a 60-year-old man with a 30-year history of poorly controlled ankylosing spondylitis and intermittent uveitis who is evaluated for a 1-year history of lower extremity edema.
https://immattersacp.org/weekly/archives/2023/02/14/3.htm
14 Feb 2023
MKSAP Quiz: 3-month history of left knee pain
A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. The patient has hypertension, hypercholesterolemia, and chronic stable angina. Medications are lisinopril, metoprolol, simvastatin, low-dose aspirin, and nitroglycerin as needed. Following a physical exam, lab results and radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/04/01/3.htm
1 Apr 2014
Statins, gout guidelines fuel debate on best practice
This issue covers the debate about statins guidelines, evidence-based guidelines for gout, and physicians-in-training who face discrimination.
https://immattersacp.org/archives/2017/04/editors.htm
1 Apr 2017
Managing medications in patients with heart failure
Internists can provide a medical home to patients with heart failure so that medications and supplements are regularly assessed and managed, according to experts.
https://immattersacp.org/archives/2017/02/medications.htm
1 Feb 2017
Arthroplasty associated with increased risk of heart attack in early postoperative period
The immediate postoperative risk of myocardial infarction following total joint arthroplasty may have been previously underappreciated, authors noted.
https://immattersacp.org/weekly/archives/2015/09/01/2.htm
1 Sep 2015
MKSAP Quiz: 10-month history of generalized weakness
A 61-year-old man is evaluated for a 10-month history of generalized weakness. He reports no pain or myalgia. History is significant for hypercholesterolemia treated with a stable dose of simvastatin for the past 3 years. Following a physical exam, lab results, and a chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/12/22/3.htm
22 Dec 2015
MKSAP Quiz: New rash on legs
A 32-year-old woman is evaluated for a new rash on her legs. She was diagnosed with pyelonephritis 4 days ago and was started on a 7-day regimen of trimethoprim-sulfamethoxazole based on urine culture and sensitivity data; her urinary symptoms have improved. Medical history includes Hashimoto thyroiditis treated with levothyroxine; her dose was increased 4 weeks ago based on thyroid function studies. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/06/mksap-quiz-new-rash-on-legs.htm
1 Jun 2018
Bringing medicine back to the bedside
The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians placed in nomination candidates for officers and Regents.
https://immattersacp.org/archives/2014/11/regents.htm
1 Nov 2014
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