Search results for "Syncope"
MKSAP Quiz: Worsening headaches
A 26-year-old woman is evaluated for progressively worsening headaches that began intermittently 6 months ago and became daily 3 months ago. The patient describes bilateral “vise-like” pain that is steady, moderate in intensity, and unaffected by physical activity. She also has experienced brief, temporal, sharp pains and a few episodes of transient binocular visual dimming. Following a physical exam, funduscopy, MRI, and lumbar puncture, what is the most appropriate treatment?
https://immattersacp.org/archives/2018/04/mksap-quiz-worsening-headaches.htm
1 Apr 2018
MKSAP Quiz: 2-week history of bloody diarrhea
A 24-year-old man is evaluated in the emergency department for 2 weeks of worsening bloody diarrhea with up to 10 bloody bowel movements per day. He also reports increasing lower abdominal pain and distension and decreased stool frequency over the past day. He has had extensive ulcerative colitis for 5 years. After physical examination, laboratory studies, and abdominal radiograph, what is the appropriate next step in management?
https://immattersacp.org/archives/2019/01/mksap-quiz-2-week-history-of-bloody-diarrhea.htm
1 Jan 2019
Fall, fracture risk may be increased with prostate-selective alpha antagonists in older men
Men 66 years of age and older who had filled a first outpatient prescription for tamsulosin, alfuzosin, or silodosin were compared with men who had not.
https://immattersacp.org/weekly/archives/2015/11/03/2.htm
3 Nov 2015
MKSAP Quiz: ED evaluation for midsternal pain
A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014
MKSAP Quiz: 3-month history of daily headaches
A 64-year-old woman is evaluated for a 3-month history of daily headaches of sudden, spontaneous onset. Following a physical exam and MRI, what is the most appropriate treatment of this patient's headaches?
https://immattersacp.org/weekly/archives/2023/01/24/3.htm
24 Jan 2023
Atypical antipsychotics associated with increased AKI risk
Use of atypical antipsychotics is associated with increased risk for acute kidney injury (AKI), according to a new study.
https://immattersacp.org/weekly/archives/2014/08/19/2.htm
19 Aug 2014
Warning on diabetes drugs, approval of adjuvant flu vaccine
This update covers a warning on sodium-glucose cotransporter-2 inhibitors and approval of a trivalent vaccine for the prevention of seasonal influenza in people age 65 years and older.
https://immattersacp.org/archives/2016/02/fda.htm
1 Feb 2016
Learn to see signs of an often fatal disease
Pulmonary arterial hypertension can be recognized and treated. But it remains a diagnosis that is often missed, and the delay can lead to a rapidly progressing and fatal outcome. Learn the signs beyond a patient who reports “being out of breath.”.
https://immattersacp.org/archives/2013/04/pulmonology.htm
1 Apr 2013
Headaches that should flag further attention
Every patient with a headache needs to have secondary causes ruled out, and the acronym SNOOP4 is easy to adopt and use.
https://immattersacp.org/archives/2018/01/headaches-that-should-flag-further-attention.htm
1 Jan 2018
SPRINT finds lower systolic BP targets associated with better outcomes in nondiabetic adults at high CV risk
The trial was stopped early because of a significantly lower rate of myocardial infarction, other types of acute coronary syndromes, stroke, heart failure, or death from CV causes in the intensive treatment group (systolic blood pressure target <120 mm Hg).
https://immattersacp.org/weekly/archives/2015/11/17/1.htm
17 Nov 2015