Search results for hip
Weighing the options for bariatric surgery
Bariatric surgery may be an option for severely obese patients for whom lifestyle changes are not enough. Internists can set up expectations that may improve postsurgical outcomes.
https://immattersacp.org/archives/2016/01/obesity.htm
1 Jan 2016
MKSAP Quiz: Progressive malaise and weakness, aches, and stiffness
A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness. He recently noted aching in his jaw when chewing and reports new left-sided headaches. His erythrocyte sedimentation rate is elevated. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2019/11/26/3.htm
26 Nov 2019
New warnings added on multiple diabetes drugs
This update also covers a risk evaluation and mitigation strategy for liraglutide and approval of a new PCSK9 inhibitor.
https://immattersacp.org/archives/2015/11/fda.htm
1 Nov 2015
Physical activity program for older adults linked to long-term improvements in function
Older adults with reduced lower-limb physical functioning treated with a 12-month, group-based physical activity and behavior maintenance program had greater improvements in function than those who received educational sessions on healthy aging, an English trial found.
https://immattersacp.org/weekly/archives/2022/03/29/1.htm
29 Mar 2022
MKSAP Quiz: Intermittent abdominal discomfort
A 61-year-old woman is evaluated for intermittent abdominal discomfort and a bloating sensation. Approximately 2 months before the swelling started, the patient had a pruritic, gradually progressive rash characterized by redness of the face, and a pruritic rash on her chest, upper back, shoulders, hands, and lateral hips. She has no muscle pain, weakness, or joint pain. Pertinent family history includes breast cancer in her mother and ovarian cancer in her grandmother. Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. Following a physical exam and lab findings, what is the most appropriate diagnostic study for this patient?.
https://immattersacp.org/archives/2013/11/mksap.htm
1 Nov 2013
Guideline recommends pharmacologic treatment of osteoporosis in postmenopausal women at high fracture risk
Bisphosphonates are recommended for initial treatment, although ibandronate is not recommended for reducing nonvertebral or hip fracture risk, the clinical practice guideline from the Endocrine Society stated.
https://immattersacp.org/weekly/archives/2019/04/02/4.htm
2 Apr 2019
Factor frailty into preop assessment
There's no real consensus definition when it comes to assessing frailty perioperatively, but there are risk calculators and risk indices available to help.
https://immattersacp.org/archives/2018/07/factor-frailty-into-preop-assessment.htm
1 Jul 2018
Multicomponent fall prevention programs no more effective than mailed information alone
Researchers in England compared fracture rates over 18 months among elderly participants who received advice about fall reduction by mail alone and those who received advice by mail plus an exercise-based or multifactorial intervention.
https://immattersacp.org/weekly/archives/2020/11/10/4.htm
10 Nov 2020
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
PPI's benefits can outweigh their possible risks
The key to proper use of proton-pump inhibitors is monitoring patients closely to determine if they are benefitting from long-term therapy, or could potentially discontinue or reduce their dose.
https://immattersacp.org/archives/2012/10/PPIs.htm
1 Oct 2012