Search results for "Guidelines"
Dyspnea should lead to testing for every patient
An expert discusses why every individual with dyspnea should have pulmonary function tests and every individual with fixed airflow obstruction on pulmonary function tests should be tested for alpha-1 antitrypsin deficiency.
https://immattersacp.org/archives/2023/11/dyspnea-should-lead-to-testing-for-every-patient.htm
1 Nov 2023
Use of chiropractors and occupational, physical therapy for low back pain uncommon, despite guidelines
While clinical practice guidelines encourage nonpharmacologic treatments as first-line therapy for low back pain, fewer than a third of patients used chiropractic care or occupational or physical therapy for this problem in 2002 to 2018.
https://immattersacp.org/weekly/archives/2023/10/31/4.htm
31 Oct 2023
Low thyroid-stimulating hormone levels linked with cognitive impairment
Thyrotoxicosis from any cause, including medical treatment, was associated with an increased risk of being diagnosed with a cognitive disorder among those ages 65 years and older, a new analysis found.
https://immattersacp.org/weekly/archives/2023/10/31/2.htm
31 Oct 2023
MKSAP Quiz: Dyspnea, exertional syncope
A 75-year-old man is evaluated for dyspnea and an episode of exertional syncope. He is diagnosed on clinical examination with aortic stenosis. Following an ECG, echocardiogram, and other data, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2023/10/31/3.htm
31 Oct 2023
Orthostatic hypotension not a barrier to intensive hypertension treatment, meta-analysis finds
Researchers observed that more intensive blood pressure treatment lowered risk of cardiovascular disease or all-cause mortality regardless of whether patients had orthostatic hypotension.
https://immattersacp.org/weekly/archives/2023/10/24/1.htm
24 Oct 2023
Guidance issued on outpatient testing for fungal infections in CAP
Coccidioidomycosis, histoplasmosis, and blastomycosis can have presentations similar to community-acquired pneumonia (CAP) and should be considered in certain geographic areas, experts said.
https://immattersacp.org/weekly/archives/2023/10/17/1.htm
17 Oct 2023
New ACP paper reviews performance measures for osteoporosis
Of the six osteoporosis performance measures relevant to internal medicine physicians, only one is valid at three levels of attribution, i.e., individual physician, group practice, and health plan, an ACP assessment found.
https://immattersacp.org/weekly/archives/2023/10/10/6.htm
10 Oct 2023
Raising awareness about HPV-related cancers
The human papillomavirus (HPV) vaccine can potentially prevent more than 90% of HPV-associated cancers. Generally given to teens, it can be offered to adults as well.
https://immattersacp.org/archives/2023/10/raising-awareness-about-hpv-related-cancers.htm
1 Oct 2023
MKSAP Quiz: Evaluation for fatigue of 3 months' duration
A 36-year-old woman is evaluated for fatigue of 3 months' duration and dyspnea on exertion of 1 month's duration. She is 1 month postpartum. She takes no medications. Following a physical examination and lab studies, what is the most appropriate management?
https://immattersacp.org/archives/2023/10/mksap-quiz-evaluation-for-fatigue-of-3-months-duration.htm
1 Oct 2023
Swallowing gone wrong in EoE
Eosinophilic esophagitis (EoE) is uncommon but also underdiagnosed: Patients may not seek care for their symptoms, and physicians may not be aware of the condition.
https://immattersacp.org/archives/2023/09/swallowing-gone-wrong-in-eoe.htm
1 Sep 2023