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MKSAP Quiz: Surveillance ultrasound for hepatocellular carcinoma

A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 months. Following a physical exam and ultrasound that reveals three new liver masses, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/12/19/3.htm
19 Dec 2017

ACP, CDC issue best practice advice on HBV

Clinicians should screen for hepatitis B virus (HBV) in patients at high risk, such as those born in countries where the HBV prevalence is 2% or higher, men who have sex with men, patients who require immunosuppressive therapy, or patients with end-stage renal disease.
https://immattersacp.org/weekly/archives/2017/11/21/1.htm
21 Nov 2017

Bariatric surgery device linked to deaths

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/10/bariatric-surgery-device-linked-to-deaths.htm
1 Oct 2017

MKSAP Quiz: 6-week history of blisters

A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease. The patient does not use tobacco but drinks 6 beers daily. He takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/09/mksap-quiz-6-week-history-of-blisters.htm
1 Sep 2017

Insulin cartridge holders recalled, HCV drug approved

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/09/insulin-cartridge-holders-recalled-hcv-drug-approved.htm
1 Sep 2017

HCV treatment by NPs, PCPs appears safe, effective as that provided by subspecialists

Reversing restrictions that limit prescribing of direct-acting antivirals might allow rapid escalation of safe, effective therapy for hepatitis C virus (HCV) infection and could improve the care of patients, study authors noted.
https://immattersacp.org/weekly/archives/2017/08/08/2.htm
8 Aug 2017

ACP and the American Academy of HIV Medicine collaborate on new guide to hepatitis C testing

The new guide includes a summary of the latest testing recommendations; diagnostic, billing, and laboratory codes for testing; resources for referrals to HCV-experienced clinicians; and information on patient interactions, education, conversations, and case examples.
https://immattersacp.org/weekly/archives/2017/05/16/5.htm
16 May 2017

MKSAP Quiz: 8-year history of joint pain

A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2017/05/mksap.htm
1 May 2017

Managing medication adherence

That most nonadherent patients are willfully rejecting doctors' orders might seem shocking. But physicians have to accept it in order to encourage patients to accept their advice. Digital health tools may offer potential aids in solving matters of adherence.
https://immattersacp.org/archives/2017/03/adherence.htm
1 Mar 2017

Adult immunization schedule released for 2017

The Advisory Committee on Immunization Practices has released its 2017 Recommended Immunization Schedule for adults, with changes to influenza, human papillomavirus, hepatitis B, and meningococcal vaccinations.
https://immattersacp.org/weekly/archives/2017/02/07/4.htm
7 Feb 2017

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