Search results for "Syncope"
Regents hear two sides of applying medical home concept
The Board of Regents recently brought in two experts to talk about how the patient-centered medical home actually works in practice in a first-ever Regents meeting debate.
https://immattersacp.org/archives/2009/10/regents.htm
1 Oct 2009
Atypical antipsychotics associated with increased AKI risk
Use of atypical antipsychotics is associated with increased risk for acute kidney injury (AKI), according to a new study.
https://immattersacp.org/weekly/archives/2014/08/19/2.htm
19 Aug 2014
MKSAP Quiz: ED evaluation for midsternal pain
A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014
Learn to see signs of an often fatal disease
Pulmonary arterial hypertension can be recognized and treated. But it remains a diagnosis that is often missed, and the delay can lead to a rapidly progressing and fatal outcome. Learn the signs beyond a patient who reports “being out of breath.”.
https://immattersacp.org/archives/2013/04/pulmonology.htm
1 Apr 2013
IMGs get acculturation advice from a veteran
In an already overwhelming time period of residency, international medical graduates face extra burdens: confusing slang from patients, questioning authority when needed, and interacting with more knowledgeable subordinates. Cultural barriers have to be crossed to adapt to life in a U.S. residency.
https://immattersacp.org/archives/2010/06/IMG.htm
1 Jun 2010
Headaches that should flag further attention
Every patient with a headache needs to have secondary causes ruled out, and the acronym SNOOP4 is easy to adopt and use.
https://immattersacp.org/archives/2018/01/headaches-that-should-flag-further-attention.htm
1 Jan 2018
Metacognition and its impact on physician self-diagnosis
A physician tried to self-diagnose his symptoms of a feeling of suffocation and a change in gait. Experts review the cognitive biases that made the doctor overlook the right diagnosis.
https://immattersacp.org/archives/2012/10/gray.htm
1 Oct 2012
SPRINT finds lower systolic BP targets associated with better outcomes in nondiabetic adults at high CV risk
The trial was stopped early because of a significantly lower rate of myocardial infarction, other types of acute coronary syndromes, stroke, heart failure, or death from CV causes in the intensive treatment group (systolic blood pressure target <120 mm Hg).
https://immattersacp.org/weekly/archives/2015/11/17/1.htm
17 Nov 2015
MKSAP Quiz: evaluation for a dental cleaning procedure
This week's quiz asks readers to choose the most appropriate prophylactic regimen for a 46-year-old woman before a dental cleaning procedure involving deep scaling.
https://immattersacp.org/weekly/archives/2015/04/07/3.htm
7 Apr 2015
Studies examine effectiveness of financial incentives in primary care
Two randomized trials suggest that certain financial incentives may be associated with some clinical improvements in primary care, although both the study authors and editorialists said that additional research is needed.
https://immattersacp.org/weekly/archives/2013/09/17/1.htm
17 Sep 2013