Search results for "Rheumatology"
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
MKSAP Quiz: 3-month history of rash
A 46-year-old woman is evaluated for a 3-month history of a rash during the summertime. She is otherwise well and takes no medications. Following a physical exam, exam of the rash, and lab studies, what is the most likely diagnosis?.
https://immattersacp.org/archives/2016/03/mksap.htm
1 Mar 2016
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
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
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: 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
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
MKSAP Quiz: 2-month history of increased dyspnea
A 48-year-old woman is evaluated for a 2-month history of increased dyspnea, wheezing, and nonproductive cough. She also reports intermittent pain and swelling in the wrists and knees for the past 6 months. She was diagnosed with scleritis of the left eye 1 month ago that improved with glucocorticoid drops. She also had two episodes of right pinna pain, redness, and swelling. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/01/mksap-quiz-2-month-history-of-increased-dyspnea.htm
1 Jan 2020