Search results for "Chronic kidney disease"
No clear-cut choice among once-weekly GLP-1 receptor agonists
The growing number of available treatments for type 2 diabetes has made diabetes care more complex.
https://immattersacp.org/weekly/archives/2015/12/08/1.htm
8 Dec 2015
Warning on HCV treatments; more cancer drugs approved
This update also covers a warning that combination drugs can cause serious liver injury and approval of new drugs for metastatic non-small-cell lung cancer that has progressed after other treatments.
https://immattersacp.org/archives/2016/01/fda.htm
1 Jan 2016
Masked hypertension common in CKD, especially with elevated nighttime blood pressure
Masked hypertension occurs commonly in patients with chronic kidney disease and is associated with lower estimated glomerular filtration rate, proteinuria, and cardiovascular target organ damage.
https://immattersacp.org/weekly/archives/2016/03/01/3.htm
1 Mar 2016
Shifting standards for hypertension
New hypertension guidelines are being developed by the American Heart Association (AHA) and the American College of Cardiology (ACC) that will incorporate new study results. At issue is how these results apply to the many types of patients who walk through the office door, including those with diabetes.
https://immattersacp.org/archives/2016/03/hypertension.htm
1 Mar 2016
MKSAP Quiz: Evaluation 4 months after a stroke
A 77-year-old woman is evaluated 4 months following a left middle cerebral artery ischemic stroke. The severity of her stroke required prolonged initial hospitalization and a 3-month stay in a rehabilitation center before returning home. Residual deficits include dense right-sided hemiparesis and dysphagia requiring oral feeding with thickened liquids. Following a physical exam and lab studies, what is the most likely cause of this patient's decreased serum creatinine level?
https://immattersacp.org/weekly/archives/2016/03/08/3.htm
8 Mar 2016
Transitioning patients from pediatric to adult care
As adolescents become young adults, there comes a time when pediatricians will no longer see them. For those patients with chronic, sometimes complex, conditions, it can be hard to know how to transition into the adult internal medicine world. ACP, in collaboration with several pediatric and adult subspecialty societies, has developed a toolkit to help patients and practices manage this transition.
https://immattersacp.org/archives/2016/06/tips.htm
1 Jun 2016
‘Nonfunctional’ adrenal tumors may be linked to incident diabetes
Risk for incident diabetes is significantly higher in patients with nonfunctional adrenal tumors than in those without, and the term “nonfunctional” may minimize the potential contribution of adrenal hormone secretion to cardiometabolic risk, researchers said.
https://immattersacp.org/weekly/archives/2016/08/02/1.htm
2 Aug 2016
New insulin questioned; carbon emission price proposed
Readers address insulin dosing and propose going further on climate change.
https://immattersacp.org/archives/2016/09/letters.htm
1 Sep 2016
MKSAP Quiz: follow-up visit for gout
A 55-year-old man is evaluated during a follow-up visit for gout. Two years ago, he had been treated with allopurinol and developed a hypersensitivity reaction. Over the past several months, he has had recurrent attacks of acute, episodic swelling of the first metatarsophalangeal joints with increasing involvement of other joints, including the ankles and knees. Laboratory studies showed significant hyperuricemia. History is also significant for Crohn disease, hypertension, chronic kidney disease (estimated glomerular filtration rate of 55 mL/min/1.73 m2), and nonalcoholic fatty liver disease. Current medications are diltiazem and azathioprine, which he has been taking for the past 9 months. Which of these is a contraindication to the use of febuxostat in this patient?
https://immattersacp.org/weekly/archives/2017/01/24/3.htm
24 Jan 2017
Benefits, harms of osteoporosis medications unclear for patients with CKD
Among several gaps in medical knowledge, there was conflicting or insufficient evidence of the effectiveness of bisphosphonates on fractures and safety in transplant recipients and patients with chronic kidney disease.
https://immattersacp.org/weekly/archives/2017/04/11/4.htm
11 Apr 2017