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MKSAP Quiz: 1-month history of fever, malaise, weight loss

A 52-year-old woman is evaluated for a 1-month history of fever, malaise, and weight loss. She has a history of cardiomyopathy, for which she received a heart transplant 5 years ago; 3 months ago, an episode of rejection occurred, and high-dose glucocorticoids were initiated. Following a physical exam and CT scan, which infection is the most likely cause of the patient's findings?
https://immattersacp.org/weekly/archives/2024/02/27/3.htm
27 Feb 2024

First NASH treatment, over-the-counter CGM approved

This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2024/05/first-nash-treatment-over-the-counter-cgm-approved.htm
1 May 2024

MKSAP Quiz: 12-week history of night sweats, fevers, weight loss

A 33-year-old man is evaluated for a 12-week history of night sweats, fevers, and weight loss without other localizing symptoms. Medical history is otherwise unremarkable, and he takes no medications. Following a physical exam, lab tests, and other procedures, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/31/3.htm
31 Jan 2023

MKSAP Quiz: 3-day history of headaches, low-grade fever

A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
https://immattersacp.org/archives/2023/11/mksap-quiz-3-day-history-of-headaches-low-grade-fever.htm
1 Nov 2023

MKSAP Quiz: Periodic fever over the past 3 months

A 43-year-old man is seen in follow-up for fever up to 38.3 °C (101 °F) occurring periodically over the past 3 months. He has no associated symptoms other than fatigue. Following a physical exam, lab studies, and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/05/07/3.htm
7 May 2019

MKSAP Quiz: Inpatient with fever, dry cough, shortness of breath

A 55-year-old man is evaluated in the hospital for fever, dry cough, and shortness of breath of 3 days' duration. He has advanced squamous cell lung cancer, for which he recently started treatment with pembroluzimab and radiation. Following a physical exam, CT scan, and bronchoscopy, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/04/mksap-quiz-inpatient-with-fever-dry-cough-shortness-of-breath.htm
1 Apr 2023

MKSAP Quiz: 5-day history of nonproductive cough, fever

A 59-year-old man is hospitalized with a 5-day history of nonproductive cough and fever. He recreationally breeds carrier pigeons. He reports no travel outside of the United States. Following a physical exam and chest radiograph, what is the most likely cause of this patient's symptoms?
https://immattersacp.org/weekly/archives/2021/11/02/3.htm
2 Nov 2021

New COVID-19 vaccine recommendations, data on after-effects of infection

The CDC recommended another COVID-19 booster for older patients and ended five-day isolation guidelines, while studies showed that COVID-19 infection was associated with a small cognitive decline and an increase in risk for autoimmune inflammatory rheumatic diseases.
https://immattersacp.org/weekly/archives/2024/03/05/4.htm
5 Mar 2024

MKSAP Quiz: 12-hour history of fever

A 51-year-old man is evaluated in the emergency department for a 12-hour history of fever, chills, headache, and weakness. He works on his farm in Maine and spends a considerable part of most days outside, but he is not aware of any tick or mosquito bites. Following a physical exam and lab studies, a blood smear from this patient is most likely to show which of the following abnormalities?
https://immattersacp.org/archives/2020/11/mksap-quiz-12-hour-history-of-fever.htm
1 Nov 2020

MKSAP Quiz: Cough, rhinorrhea, and wheezing for 3 weeks

A 23-year-old man is evaluated for cough, rhinorrhea, and wheezing of 3 weeks' duration. He has no fevers, chills, or chest pain and no history of asthma or allergies. He is a pastry chef and notes that his symptoms improve on nonworking weekends. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/02/3.htm
2 Jan 2024

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