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MKSAP Quiz: 2-week history of nonproductive cough and fever

A 35-year-old man is evaluated for a 2-week history of nonproductive cough and fever. He has a 20-year history of asthma. Three weeks ago, he visited friends in Indiana. He has no dyspnea, hemoptysis, or worsening of his baseline asthma symptoms. His only medication is an albuterol inhaler as needed. Following a physical exam, lab results and a chest radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/03/04/3.htm
4 Mar 2014

Rapid hepatitis C testing identified infections in high-risk population

Rapid testing for hepatitis C virus (HCV) at agencies for people with drug dependence identified many previously unrecognized infections, a recent study found.
https://immattersacp.org/weekly/archives/2014/04/22/4.htm
22 Apr 2014

Doripenem not for pneumonia; migraine device approved

This update covers a labeling change for doripenem (Doribax) and a warning about risk of death for ventilator patients with pneumonia, among other regulatory actions.
https://immattersacp.org/archives/2014/05/fda.htm
1 May 2014

CDC issues guideline on prescribing HIV prophylaxis medication

A new clinical practice guideline on how to prescribe oral antiretroviral preexposure prophylaxis (PrEP) for HIV infection was issued by the CDC last week.
https://immattersacp.org/weekly/archives/2014/05/20/2.htm
20 May 2014

It's all about the history in diagnosing fever of unknown origin

There are 4 types of fever of unknown origin, and distinguishing among them starts with the first step: Look for clues from the history and other presenting symptoms.
https://immattersacp.org/archives/2014/06/fever.htm
1 Jun 2014

CONFERENCE COVERAGE July/August 2014 ACP Internist 13 When you ...

Roos. “Patientswith fever and headache, we want to add. acyclo vir [10 mg/kg every 8 hours] because itcould be herpes simplex virus encephalitis.”. ... Roos said. Enteroviruses are the most commoncause of viral meningitis. Other commoncauses include HSV-2, HIV, and arthropod-borne viruses.
https://immattersacp.org/archives/2014/07/acpi-201407-puzzle_t2.pdf
23 Jun 2014

IDSA guidelines call for accurate diagnoses, fewer antibiotics for skin and soft-tissue infections

Skin and soft-tissue infections, even those caused by methicillin-resistant Staphylococcus aureus, are often minor and either heal on their own or can be easily treated without antibiotics, according to updated practice guidelines.
https://immattersacp.org/weekly/archives/2014/06/24/1.htm
24 Jun 2014

Efavirenz as part of initial HIV therapy associated with increased suicidality

Initial HIV therapy that contained the antiretroviral efavirenz was associated with increased risk for suicidal ideation, attempted suicide, and completed suicide in a recent study.
https://immattersacp.org/weekly/archives/2014/07/01/4.htm
1 Jul 2014

College Fellow's foundation helps support health care workers

For many people, retirement means a chance to improve one's golf handicap and vacation in Europe. For Larry Crook, MD, FACP, it meant setting up a nonprofit to help people halfway around the world.
https://immattersacp.org/archives/2014/07/profile.htm
1 Jul 2014

Expert offers advice on moving fast and mastering meningitis

The traditional 3 symptoms of bacterial meningitis are well known: fever, headache, and neck stiffness. But altered mental status should be on that list, too.
https://immattersacp.org/archives/2014/07/meningitis.htm
1 Jul 2014

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