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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

High-value management of patients with GI symptoms

Gastroesophageal reflux disease, rectal bleeding, and chronic diarrhea can be controlled better by applying high-value care.
https://immattersacp.org/archives/2017/06/gastro.htm
1 Jun 2017

Helping older patients 'age in place'

Internists can help patients live at home as they age by assessing physical functioning, watching for changes in functioning, and directing them to available resources.
https://immattersacp.org/archives/2017/05/geriatrics.htm
1 May 2017

Label change for pioglitazone-containing medications

This column reviews a label change for medicine that contain pioglitazone and a new indication for empagliflozin.
https://immattersacp.org/archives/2017/02/fda.htm
1 Feb 2017

MKSAP Quiz: pre-procedural evaluation

A 46-year-old woman is evaluated before undergoing a dental cleaning procedure involving deep scaling. She has a history of mitral valve prolapse without regurgitation and also had methicillin-resistant Staphylococcus aureus (MRSA) aortic valve endocarditis 10 years ago treated successfully with antibiotics. The patient notes an allergy to penicillin characterized by hypotension, hives, and wheezing. The remainder of the history is noncontributory. Following a physical and cardiopulmonary examination, what is the most appropriate prophylactic regimen for this patient before her dental procedure?
https://immattersacp.org/weekly/archives/2014/12/23/3.htm
23 Dec 2014

Action, advocacy, partnering for falls

Partnering with patients can make a big difference in preventing falls, which can result in lingering disability.
https://immattersacp.org/archives/2018/03/action-advocacy-partnering-for-falls.htm
1 Mar 2018

MKSAP Quiz: treatment of community-acquired pneumonia

A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Following blood cultures, a physical exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/07/08/3.htm
8 Jul 2014

Differentiating ‘dizziness' and vertigo

Because patients use these two terms to describe a broad range of sensations, the symptom can pose a diagnostic challenge.
https://immattersacp.org/archives/2017/01/dizziness-vertigo.htm
1 Jan 2017

The latest issue is online

The November issue of ACP Hospitalist is online.
https://immattersacp.org/weekly/archives/2013/11/19/12.htm
19 Nov 2013

New guideline advises diagnoses, referrals, treatments for supraventricular tachycardia

The overall goal of the guideline is to provide clinicians with the tools needed to successfully diagnose and treat patients with supraventricular tachycardia other than atrial fibrillation.
https://immattersacp.org/weekly/archives/2015/09/29/4.htm
29 Sep 2015

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