Search results for "Clinical diagnosis"
MKSAP Quiz: 2-week history of gradually increasing pain
A 75-year-old woman is evaluated for a 2-week history of gradually increasing pain in both shoulders and hips; the pain radiates down both arms to the elbows and down both hamstrings to the knees. She reports no headache, jaw claudication, or vision changes. She was diagnosed with polymyalgia rheumatica 3 months ago. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/03/24/3.htm
24 Mar 2020
Giant-cell arteritis needs prompt action for good outcomes
The differential diagnosis of this condition can be challenging because many conditions can mimic it.
https://immattersacp.org/archives/2021/05/giant-cell-arteritis-needs-prompt-action-for-good-outcomes.htm
1 May 2021
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
Joint guidelines on Lyme disease prevention, diagnosis, treatment open for comment
Among other recommendations, the draft guidelines favor oral antibiotic therapy with doxycycline, amoxicillin, cefuroxime axetil, or phenoxymethylpenicillin over other antimicrobials for treatment of Lyme disease.
https://immattersacp.org/weekly/archives/2019/07/02/2.htm
2 Jul 2019
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
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
Fibromyalgia characterized by controversy
There is very clear, objective evidence that fibromyalgia is a real problem. But there remains considerable dissent among the medical community about the condition's cause.
https://immattersacp.org/archives/2016/09/fibromyalgia.htm
1 Sep 2016
Women's health groups recommend screening all women for urinary incontinence annually
Given the prevalence of urinary incontinence, that women do not volunteer symptoms, and the multiple and frequently changing risk factors associated with incontinence, annual testing is reasonable, a clinical guideline concluded.
https://immattersacp.org/weekly/archives/2018/08/14/1.htm
14 Aug 2018
Officer and Regent election results announced
The election of Officers and Regents has been completed. Terms become effective at the conclusion of the Annual Business Meeting at Internal Medicine 2012 in New Orleans.
https://immattersacp.org/archives/2012/03/regents.htm
1 Mar 2012
Start at the top to get to the bottom of a diagnosis
ACP Member C. Christopher Smith reconsiders a patient's self-reported diagnosis of irritable bowel syndrome to uncover the true cause of his symptoms.
https://immattersacp.org/archives/2009/07/mindful.htm
1 Jul 2009