Search results for "Antibiotics"
MKSAP Quiz: Intermittent pruritic rash of 8 years
A 32-year-old man is evaluated for an intermittent pruritic rash of 8 years' duration. Medical history is significant for mild persistent asthma. His only medications are an albuterol inhaler and an inhaled glucocorticoid. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2018/09/18/3.htm
18 Sep 2018
Denial of some patient requests, but not others, associated with decreased patient satisfaction, study finds
Denial of requests was associated with worse patient satisfaction for referrals, pain medications, other new medications, and lab tests, but not for antibiotics, radiology tests, or other tests.
https://immattersacp.org/weekly/archives/2017/12/05/5.htm
5 Dec 2017
Guidance on using rapid tests, managing COPD, and screening for cardiac problems in COVID-19
The FDA warned about false positives with rapid tests, guidance addressed care for chronic obstructive pulmonary disease (COPD) during the pandemic, and experts advised on ethics of emergency use authorizations, among other recent COVID-19 news.
https://immattersacp.org/weekly/archives/2020/11/10/1.htm
10 Nov 2020
Metoprolol not effective for reducing time to COPD exacerbation
A randomized placebo-controlled trial, which was stopped early due to safety and futility concerns, found no significant between-group difference in median time to first exacerbation of chronic obstructive pulmonary disease (COPD).
https://immattersacp.org/weekly/archives/2019/10/29/4.htm
29 Oct 2019
CDC issues interim guidance on evaluation, treatment of suspected vaping injuries
The evaluation of patients with suspected e-cigarette, or vaping, product use-associated lung injury (EVALI) should include pulse oximetry, chest X-ray, and, in some cases, chest CT, the CDC advised.
https://immattersacp.org/weekly/archives/2019/10/22/2.htm
22 Oct 2019
MKSAP Quiz: 6-day history of lightheadedness, nightly fevers
A 19-year-old man is hospitalized with a 6-day history of lightheadedness and nightly fevers, as well as sore throat and other symptoms. A blotchy rash on his trunk and arms has recently resolved. He returned home 12 days ago from a trip to Vietnam, for which he did not receive specific immunizations or other prophylaxis. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/10/29/3.htm
29 Oct 2019
Expert panel offers guideline on diagnosis of pertussis
The American College of Chest Physicians' panel found four clinical features sufficiently predictive to help rule in or out pertussis in adults: paroxysmal cough, post-tussive vomiting, inspiratory whoop, and absence of fever.
https://immattersacp.org/weekly/archives/2018/10/23/2.htm
23 Oct 2018
MKSAP Quiz: Evaluation for persistent fatigue, headache, myalgia, arthralgia
A 44-year-old woman is evaluated for persistent fatigue, headache, myalgia, and arthralgia. Early localized Lyme disease was diagnosed 2 months ago after the patient returned from a camping trip in western New Jersey with the symptoms described and a skin eruption of erythema migrans. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/07/30/3.htm
30 Jul 2019
New Bedside Rounds podcast: Bacteriophages making a comeback
Discover how bacteriophages were once used to treat all kinds of infections, from cholera to staph.
https://immattersacp.org/weekly/archives/2018/12/11/5.htm
11 Dec 2018
MKSAP Quiz: Evaluation for a superficial skin infection
A 20-year-old male college student on the wrestling team is evaluated for a superficial skin infection. He has a history of several episodes of folliculitis and furunculosis over the past year that has required systemic treatment. His recurrent infections were treated with various oral antibiotics, including cephalexin, clindamycin, and trimethoprim-sulfamethoxazole. He currently takes no medications, has no drug allergies, and is otherwise in good health. There are multiple, scattered erythematous papulopustules and nodules on the buttocks and upper thighs, some with a collarette of scale. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/06/06/3.htm
6 Jun 2017