Search results for "Guidelines"
Latest COVID-19 research on VTE risk, treatment with metformin, ivermectin, fluvoxamine
Unvaccinated patients may have higher risk of venous thromboembolism (VTE) when mildly ill, one study found, while another showed no effect from metformin, ivermectin, or fluvoxamine. Research supported the safety of the mRNA vaccines, and the NIH updated its treatment guidelines.
https://immattersacp.org/weekly/archives/2022/08/23/4.htm
23 Aug 2022
MKSAP Quiz: 6-month history of intermittent claudication
A 68-year-old man is evaluated for a 6-month history of intermittent claudication. His symptoms have been slowly progressive but are not life limiting. Medical history is significant for hypertension, hyperlipidemia, and carotid artery stenosis treated with left carotid endarterectomy. He is a former smoker but quit 10 years ago. Following a physical exam and lab studies, what is the most appropriate treatment to reduce this patient's cardiovascular risk?
https://immattersacp.org/weekly/archives/2022/08/23/3.htm
23 Aug 2022
Medication adherence affecting cardiovascular outcomes even in clinical trials
Two new analyses of recent cardiology trials highlighted the prevalence and potential adverse effects of nonadherence to medications.
https://immattersacp.org/weekly/archives/2022/08/16/2.htm
16 Aug 2022
MKSAP Quiz: 4-month history of progressive exertional dyspnea
A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Following a physical exam and lab tests, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/09/3.htm
9 Aug 2022
New guideline targets preventing obesity in midlife women
A guideline from the Women's Preventive Services Initiative recommends physicians counsel women ages 40 to 60 years about healthy eating and physical activity to maintain weight or prevent weight gain.
https://immattersacp.org/weekly/archives/2022/08/02/2.htm
2 Aug 2022
Not enough time for primary care clinicians to provide guideline-recommended care, study finds
A recent simulation study estimated that a primary care clinician would require 26.7 h/d to provide preventive, chronic, and acute care, plus documentation/inbox management, to an average panel of 2,500 patients. This time decreased to 9.3 h/d with team-based care.
https://immattersacp.org/weekly/archives/2022/07/12/2.htm
12 Jul 2022
MKSAP Quiz: Follow-up for positive HIV test
A 35-year-old man undergoes follow-up evaluation for a positive HIV screening test obtained 3 days ago. He is ready to start treatment. HIV testing 1 year ago was negative. He takes no medications. The physical examination is normal. Following immunoassays, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/07/12/4.htm
12 Jul 2022
Hyaluronic acid injections for knee arthritis ineffective, surgery for meniscal tears noninferior to PT, studies find
A meta-analysis found no significant change in pain and more adverse events with viscosupplementation for osteoarthritis of the knee compared to placebo, while another study offered longer-term evidence that surgery was no better than physical therapy (PT) for degenerative meniscal tears.
https://immattersacp.org/weekly/archives/2022/07/12/1.htm
12 Jul 2022
MKSAP Quiz: 2-day history of shortness of breath
A 35-year-old man is evaluated in the emergency department for a 2-day history of shortness of breath with no cough or hemoptysis. Medical history is unremarkable, and he takes no medications. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/07/05/4.htm
5 Jul 2022
Efforts to stop coprescribing of opioids, benzodiazepines helped, but problem ongoing
Two recent studies examined national trends in opioid and benzodiazepine prescribing, one finding that prescribing of these drugs together and separately dropped nationally, while another showing that opioid prescribing for patients with alcohol use disorder (AUD) decreased in New York.
https://immattersacp.org/weekly/archives/2022/06/07/4.htm
7 Jun 2022