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MKSAP Quiz: Fatigue, anorexia, and myalgia

A 68-year-old woman is hospitalized with fatigue, anorexia, and myalgia worsening over the last week. She underwent laparotomy 4 weeks ago for trauma sustained in a motor vehicle accident, which necessitated a splenectomy. She received 3 units of blood. Which of the following transfusion-transmitted diseases is the most likely diagnosis?
https://immattersacp.org/archives/2020/05/mksap-quiz-fatigue-anorexia-myalgia.htm
1 May 2020

MKSAP quiz: Follow-up for elevated liver chemistry test results

A 28-year-old man is evaluated in follow-up for elevated liver chemistry test results, which were performed to assess a 3-month history of fatigue. He has no history of liver disease and has not had abdominal pain or fever. His medical history is significant for a 3-year history of diarrhea.
https://immattersacp.org/weekly/archives/2017/02/28/3.htm
28 Feb 2017

MKSAP quiz: 2-week history of rash on face, midchest

This week's quiz asks readers to determine the most likely diagnosis for a 32-year-old man evaluated for a 2-week history of a rash on his face and midchest consisting of small, reddish, intensely itchy “lumps.”
https://immattersacp.org/weekly/archives/2017/08/29/4.htm
29 Aug 2017

Managing superbugs in your community

General internists are poised to assume a key role in tackling the increasingly formidable threat of antimicrobial resistance.
https://immattersacp.org/archives/2017/05/superbugs.htm
1 May 2017

CDC publishes recommendations on use of RSV vaccines

The two vaccines for respiratory syncytial virus (RSV) were approved by the FDA for older adults in May.
https://immattersacp.org/weekly/archives/2023/08/01/4.htm
1 Aug 2023

IDSA issues updated guidelines on infectious diarrhea

Among the recommendations, physicians should obtain a detailed clinical exposure history from all people with diarrhea, including when there is a similar history in other patients, and patients who have fever or bloody diarrhea should be evaluated for enteropathogens that may respond to antimicrobial agents.
https://immattersacp.org/weekly/archives/2017/10/24/1.htm
24 Oct 2017

Internists interacting with retail clinics

Primary care physicians are seeing more patients after they've already been to a retail health clinic. Experts say that a more patient-centered model needs to evolve to combat the ease of seeking care outside the doctor's office.
https://immattersacp.org/archives/2016/02/retail-clinics.htm
1 Feb 2016

COVID-19 upends every aspect of visits

Several months into the COVID-19 pandemic, it's still uncertain to what degree it will reshape the practice of medicine and office management in the near and long terms.
https://immattersacp.org/archives/2020/07/covid-19-upends-every-aspect-of-visits.htm
1 Jul 2020

5 key takeaways from vaping crisis

The electronic cigarette or vaping product use-associated lung injury (EVALI) crisis has reached critical mass, sending thousands to the hospital and sometimes proving fatal.
https://immattersacp.org/archives/2020/03/5-key-takeaways-from-vaping-crisis.htm
1 Mar 2020

After splenectomy, clots join infection as potential risks

Fewer splenectomies are being done, but thromboembolic disease afterward is now more recognized and therefore being diagnosed more frequently.
https://immattersacp.org/archives/2017/04/splenectomy.htm
1 Apr 2017

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