Search results for "Rheumatology"
MKSAP Quiz: Oral dryness without ocular dryness
A 57-year-old woman is evaluated for fatigue, generalized achiness, and oral dryness without ocular dryness. Following a physical exam and lab studies, what is the most likely cause of this patient's oral dryness?
https://immattersacp.org/weekly/archives/2022/11/08/3.htm
8 Nov 2022
MKSAP Quiz: 10-month history of generalized weakness
A 61-year-old man is evaluated for a 10-month history of generalized weakness. He reports no pain or myalgia. History is significant for hypercholesterolemia treated with a stable dose of simvastatin for the past 3 years. Following a physical exam, lab results, and a chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/12/22/3.htm
22 Dec 2015
MKSAP Quiz: New rash on legs
A 32-year-old woman is evaluated for a new rash on her legs. She was diagnosed with pyelonephritis 4 days ago and was started on a 7-day regimen of trimethoprim-sulfamethoxazole based on urine culture and sensitivity data; her urinary symptoms have improved. Medical history includes Hashimoto thyroiditis treated with levothyroxine; her dose was increased 4 weeks ago based on thyroid function studies. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/06/mksap-quiz-new-rash-on-legs.htm
1 Jun 2018
Bringing medicine back to the bedside
The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018
Defining our identity does not include the ‘P word’
The term “health care provider” implies that health care can be conceptualized as just another commodity, when it is really about helping people who are suffering, managing complex problems, and counseling them how to live.
https://immattersacp.org/archives/2019/09/defining-our-identity-does-not-include-the-p-word.htm
1 Sep 2019
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians placed in nomination candidates for officers and Regents.
https://immattersacp.org/archives/2014/11/regents.htm
1 Nov 2014
MKSAP Quiz: evaluation of painful nodules and rash
A 21-year-old woman is evaluated for a 3-week history of painful nodules and a rash in the lower extremities, along with pain and swelling of the wrists, knees, and ankles. She reports a low-grade fever and a 2.7-kg (6.0-lb) weight loss since the onset of symptoms. She has taken naproxen with some relief. History is significant for gastroesophageal reflux disease and acne. Medications are over-the-counter famotidine as needed and minocycline. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/11/03/3.htm
3 Nov 2015
Biological compared with conventional treatment may not improve work loss in early rheumatoid arthritis
Infliximab improved radiologic results but did not result in less work loss compared with conventional combination therapy in patients with early rheumatoid arthritis who did not respond sufficiently to methotrexate, a new study reports.
https://immattersacp.org/weekly/archives/2013/07/09/6.htm
9 Jul 2013
Early interventions overlooked in OA
Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
https://immattersacp.org/archives/2013/05/osteoarthritis.htm
1 May 2013
The importance of ‘the caring’
The fragmented health delivery system in which physicians maneuver can interfere with patients' perception of how much a clinician cares.
https://immattersacp.org/archives/2019/06/the-importance-of-the-caring.htm
1 Jun 2019