Search results for "Syncope"
Is self-monitoring of blood glucose still needed for diabetes?
Self-monitoring of blood glucose could become more of a targeted therapy than a blanket approach, with individual factors determining its value, experts say.
https://immattersacp.org/archives/2017/10/is-self-monitoring-of-blood-glucose-still-needed-for-diabetes.htm
1 Oct 2017
MKSAP Quiz: Preparticipation physical examination for sports
An 18-year-old man is evaluated during a preparticipation physical examination for his college soccer team. He is asymptomatic. He describes no limitation in his exercise capacity. Following a physical exam, what is the most appropriate test to perform?
https://immattersacp.org/weekly/archives/2022/09/20/3.htm
20 Sep 2022
Don't be anxious about psychiatric diagnoses
Tips can help physicians with the screening and treatment of mental disorders seen in primary care, including somatoform, bipolar and anxiety disorders.
https://immattersacp.org/archives/2013/06/psychiatry.htm
1 Jun 2013
MKSAP Quiz: Evaluation for dyspnea
This week's quiz asks readers to determine the most appropriate treatment for a 42-year-old man with hypertrophic cardiomyopathy who is experiencing dyspnea.
https://immattersacp.org/weekly/archives/2022/04/12/3.htm
12 Apr 2022
SPRINT issues final report finding fewer cardiovascular events with intensive blood pressure control
Patients treated to a systolic blood pressure target less than 120 mm Hg instead of less than 140 mm Hg had lower rates of cardiovascular events but more incidence of some adverse events, according to new follow-up data.
https://immattersacp.org/weekly/archives/2021/05/25/5.htm
25 May 2021
MKSAP Quiz: 4-month history of progressive exertional dyspnea
A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Following a physical exam and lab tests, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/09/3.htm
9 Aug 2022
MKSAP Quiz: 6 months of exertional dyspnea
A 46-year-old man is evaluated for 6 months of exertional dyspnea, fatigue, and ankle edema. Recently he experienced near-syncope walking up two flights of stairs. He has no other medical problems and takes no medications. Following a physical exam, transthoracic echocardiogram, and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/09/3.htm
9 Jun 2020
ARBs appear to have fewer side effects, same effectiveness compared to ACE inhibitors
Researchers used large international databases to compare outcomes among patients who initiated hypertension therapy with angiotensin-converting enzyme (ACE) inhibitors versus angiotensin receptor blockers (ARBs) and concluded that ARBs should be preferred.
https://immattersacp.org/weekly/archives/2021/08/03/2.htm
3 Aug 2021
MKSAP Quiz: Recent worsening of balance in Parkinson disease
A 76-year-old man is evaluated for recent worsening of balance. He has no dizziness or lightheadedness. The patient has an 8-year history of Parkinson disease treated with carbidopa-levodopa and entacapone. Findings from physical, cognitive, cerebellar, and sensory examinations are unremarkable. Which of the following is the most appropriate test to determine the patient's risk of falling backward?
https://immattersacp.org/weekly/archives/2020/11/03/3.htm
3 Nov 2020
MKSAP Quiz: Follow-up discussion of test results
A 26-year-old woman is seen for follow-up discussion of test results. Three days ago, she was evaluated for a 1-week history of a nonpruritic rash that appears to be resolving since the initial evaluation. The patient reports no recent history of oral or genital ulcers. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/09/14/3.htm
14 Sep 2021