Search results for "Endocrinology"
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians places in nomination its candidates.
https://immattersacp.org/archives/2013/11/regents.htm
1 Nov 2013
MKSAP Quiz: history of amenorrhea and galactorrhea
A 33-year-old woman is evaluated for a 5-month history of amenorrhea and a 3-month history of galactorrhea. She takes no medication. Vital signs and visual field findings are normal. Bilateral galactorrhea is noted. Serum prolactin level is markedly elevated. MRI shows a 1.5-cm sellar mass with suprasellar extension that impinges on the optic chiasm. What is the most appropriate initial treatment?
https://immattersacp.org/weekly/archives/2014/01/28/3.htm
28 Jan 2014
MKSAP Quiz: Recent onset of fatigue and muscle weakness
A 52-year-old man is evaluated for recent onset of fatigue and muscle weakness. The patient further reports nocturia and polyuria over the past 4 weeks and a 6-kg (13.2-lb) weight loss over the past 2 months. He has COPD and a 55-pack-year smoking history. His only medication is an albuterol inhaler. Temporal muscle wasting and proximal muscle wasting and weakness are noted in the upper and lower extremities on physical exam. Hyperpigmented mucous membranes are noted. Following laboratory studies and examination of the toenail beds, what is the most likely cause of this patient's findings?.
https://immattersacp.org/archives/2014/02/mksap.htm
1 Feb 2014
European societies release guideline on diagnosis, treatment of hyponatremia
Three European societies recently released a clinical practice guideline on the diagnosis and treatment of hyponatremia.
https://immattersacp.org/weekly/archives/2014/03/11/6.htm
11 Mar 2014
For hypertension, how low to go?
Updated blood pressure guidelines may have created more questions than closure, internists have found, as they try to determine how aggressively to treat the condition and what goals to set for subpopulations of patients, such as those with diabetes. Experts react to the “paradigm shift” in lowering hypertension.
https://immattersacp.org/archives/2014/04/hypertension.htm
1 Apr 2014
Vitamin D supplementation is not associated with a decreased risk of falls, meta-analysis finds
Vitamin D supplementation with or without calcium does not reduce falls by a significant amount, according to a new meta-analysis.
https://immattersacp.org/weekly/archives/2014/04/29/2.htm
29 Apr 2014
More things you shouldn't do based on the lack of evidence
Unwarranted testing and use of resources make up the biggest chunk of unnecessary health care costs, estimated at between $250 and $325 billion per year, and include such items as folic acid tests for patients with altered mental status, creatine kinase muscle-brain testing, and 24-hour patient observation after switching from IV to oral antibiotics.
https://immattersacp.org/archives/2014/05/evidence.htm
1 May 2014
MKSAP Quiz: 3-month history of irregular menses
A 32-year-old woman is evaluated for increased hair growth on the face and chest and a 3-month history of irregular menses. She has a 5-year history of hypothyroidism. Her only medication is levothyroxine. Terminal hair growth of the upper lip, chin, sides of the face, and middle of the chest is noted. Pelvic examination reveals clitoromegaly. What is the most appropriate next diagnostic test?
https://immattersacp.org/weekly/archives/2014/05/06/3.htm
6 May 2014
New recommendations on insulin pump use
The American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology offered guidance on optimal and safe use of insulin pumps in a new consensus statement.
https://immattersacp.org/weekly/archives/2014/06/03/5.htm
3 Jun 2014
MKSAP Quiz: treatment of community-acquired pneumonia
A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Following blood cultures, a physical exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/07/08/3.htm
8 Jul 2014