Search results for "Chronic kidney disease"
Non-vitamin K oral anticoagulants appear superior to vitamin K antagonists in early-stage CKD
An accompanying editorial said that the current review supports a superior benefit profile of non-vitamin K oral anticoagulants (NOACs) in patients with atrial fibrillation and early-stage chronic kidney disease (CKD).
https://immattersacp.org/weekly/archives/2019/07/16/2.htm
16 Jul 2019
MKSAP Quiz: Evaluation for left lower extremity ulcer
A 50-year-old man is evaluated for a left lower extremity ulcer. He has a 15-year history of worsening arthritis for which he has never been evaluated. He takes ibuprofen as needed. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/08/27/3.htm
27 Aug 2019
Understanding heart failure in African Americans
African Americans have a higher incidence of heart disease at a younger age, and they meet fewer criteria for ideal cardiovascular health, such as nonsmoking, physical activity, and lower body mass index.
https://immattersacp.org/archives/2019/11/understanding-heart-failure-in-african-americans.htm
1 Nov 2019
MKSAP Quiz: Follow-up for primary membranous glomerulopathy
A 38-year-old woman is evaluated during a follow-up visit for primary membranous glomerulopathy diagnosed by kidney biopsy 4 months ago. She was found to be positive for anti–phospholipase A2 receptor (PLA2R) antibodies. Vital signs are normal and there is pitting lower extremity edema to the mid shins bilaterally. What complication is she at risk for developing?
https://immattersacp.org/weekly/archives/2019/11/05/3.htm
5 Nov 2019
Higher baclofen dosage associated with encephalopathy in older patients with CKD
A retrospective Canadian study compared 30-day risk for encephalopathy in older patients with chronic kidney disease (CKD) who were newly prescribed at least 20 mg of baclofen per day versus a lower dose, as well as in baclofen users versus nonusers.
https://immattersacp.org/weekly/archives/2019/11/12/4.htm
12 Nov 2019
Internists must reassume the mantle of the ‘doctor's doctor’
The future of the general medicine specialist is in fact bright, but it will require a significant effort on an individual, professional, and societal level.
https://immattersacp.org/archives/2020/01/internists-must-reassume-the-mantle-of-the-doctors-doctor.htm
1 Jan 2020
Pros, cons of prolonged anticoagulation after a clot
Experts debate about provoked vs. unprovoked venous thromboembolism, and whether a once-high-risk patient can have that status removed later.
https://immattersacp.org/archives/2020/02/pros-cons-of-prolonged-anticoagulation-after-a-clot.htm
1 Feb 2020
MKSAP Quiz: Perioperative evaluation for hip arthroplasty
A 52-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip since sustaining injuries in a motor vehicle accident 15 years ago and is scheduled for elective hip arthroplasty in the next few months. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2020/02/11/3.htm
11 Feb 2020
Cardiovascular events similar, adverse effects worse with chlorthalidone compared to hydrochlorothiazide
Chlorthalidone was associated with a significantly higher risk of hypokalemia, hyponatremia, acute renal failure, chronic kidney disease, type 2 diabetes, and abnormal weight gain.
https://immattersacp.org/weekly/archives/2020/02/25/2.htm
25 Feb 2020
MKSAP Quiz: Follow-up for back pain 1 week ago
A 26-year-old man is evaluated during a follow-up visit after presenting to an urgent care clinic for back pain 1 week ago. Laboratory studies at that time were significant for a serum creatinine level of 1.4 mg/dL (123.8 µmol/L); other laboratory studies, including urinalysis, were normal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/03/03/3.htm
3 Mar 2020