Search results for "Rheumatology"
Fibromyalgia characterized by controversy
There is very clear, objective evidence that fibromyalgia is a real problem. But there remains considerable dissent among the medical community about the condition's cause.
https://immattersacp.org/archives/2016/09/fibromyalgia.htm
1 Sep 2016
MKSAP Quiz: 6-month history of diffuse muscle and joint pain
This week's quiz asks readers to evaluate a 25-year-old woman with a 6-month history of diffuse muscle and joint pain, fatigue, and difficulty sleeping.
https://immattersacp.org/weekly/archives/2012/01/10/3.htm
10 Jan 2012
MKSAP Quiz: 4-week history of joint pain, rash
A 33-year-old woman is evaluated for a 4-week history of recurrent worsening joint pain and a new rash on the chest and upper back. She reports sun exposure from spending time at the beach. Following a physical exam, what is the most likely diagnosis for the rash?
https://immattersacp.org/archives/2021/05/mksap-quiz-4-week-history-of-joint-pain-rash.htm
1 May 2021
Guideline released on rheumatoid arthritis treatment
Among other recommendations, the guideline panel recommended a treat-to-target approach rather than a nontargeted approach in patients with early symptomatic RA and those with established RA, regardless of disease activity.
https://immattersacp.org/weekly/archives/2015/11/24/4.htm
24 Nov 2015
Novel drug plus DMARDs may improve control of rheumatoid arthritis
Tofacitinib improved disease control in patients with active rheumatoid arthritis despite treatment with nonbiologic disease-modifying, anti-rheumatic drugs (DMARDs) compared to placebo, a study found.
https://immattersacp.org/weekly/archives/2013/08/20/5.htm
20 Aug 2013
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
Nighttime gout attack risk may be twice as much as in daytime
The risk of acute gout attacks was more than twice as high during the night or early morning hours than the day, even among those who did not consume alcohol and had a low purine intake during the 24 hours prior to the attack, a study found.
https://immattersacp.org/weekly/archives/2014/12/16/5.htm
16 Dec 2014
Noninvasive treatment almost always best for knee pain
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
https://immattersacp.org/archives/2016/04/knees.htm
1 Apr 2016
NSAID use may be associated with increased VTE risk
There may be a statistically significant increased risk of venous thromboembolism (VTE) among users of nonsteroidal anti-inflammatory drugs (NSAIDs), a meta-analysis found.
https://immattersacp.org/weekly/archives/2014/09/30/4.htm
30 Sep 2014
MKSAP Quiz: 2-week history of fatigue, poor appetite, arthralgia, and rash
A 19-year-old woman is evaluated for a 2-week history of fatigue, poor appetite, arthralgia of the hands and knees, and a rash, all of which appeared 1 day after a beach trip. After physical exam, lab studies, and kidney ultrasound, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2023/01/17/3.htm
17 Jan 2023