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MKSAP Quiz: Oral mucosal lesion

A 24-year-old male truck driver comes for a routine examination in order to renew his commercial driver's license. The patient is asymptomatic. On physical examination, vital signs are normal. Dentition is poor. An oral mucosal lesion is shown. There are no oral masses or ulcers and no cervical lymphadenopathy. What is the most likely diagnosis?.
https://immattersacp.org/archives/2012/05/mksap.htm
1 May 2012

Warning about mixing protease inhibitors with statins

This regulatory update includes a warning on combining protease inhibitors and statins, approval of an orphan drug, and steps the FDA is taking to increase the supply of cancer drugs.
https://immattersacp.org/archives/2012/05/fda.htm
1 May 2012

Bed bug infestations can bring itchy, stressed patients

A surge in bed bug infestations leads internists to look for warning signs: not just rashes, but recent travel, confirmation by an exterminator, and bullous reactions.
https://immattersacp.org/archives/2012/05/bedbugs.htm
1 May 2012

MKSAP Quiz: Petechial rash of the lower limbs

A 29-year-old woman is evaluated for a petechial rash of the lower extremities of 3 weeks' duration. The patient reports no bleeding problems except for recent, occasional bleeding from her gums after brushing. Physician examination reveals petechiae limited mainly to both lower extremities, with a few spots noted on her forearms and abdomen. What is the most appropriate next step in management?.
https://immattersacp.org/archives/2012/06/mksap.htm
1 Jun 2012

Diving into delicate patient conversations

Delivering unpleasant news is one of the hardest tasks a physician faces. Assessing sensitive topics heightens the difficulty, and two physicians at Internal Medicine 2012 address ways to handle especially sensitive areas: sexual history, and the inability to safely drive a car.
https://immattersacp.org/archives/2012/06/delicate.htm
1 Jun 2012

Pneumonia vaccine gets yes vote for immunocompromised

Uses of the pneumococcal 13-valent conjugate vaccine (Prevnar 13) should be expanded to adults with immunocompromising conditions, according to a recent vote by the CDC's Advisory Committee on Immunization Practices (ACIP).
https://immattersacp.org/weekly/archives/2012/06/26/7.htm
26 Jun 2012

Cautions about mixing HIV, HCV drugs

This regulatory update covers a warning about giving boceprevir with some ritonavir-boosted HIV protease inhibitors, as well as approval of a new erectile dysfunction drug.
https://immattersacp.org/archives/2012/07/fda.htm
1 Jul 2012

Better treatment, low awareness for hepatitis C

Amid rising rates of long-term hepatitis C infection, particularly among older populations, better treatments are able to treat the condition. But first, patients have to know they have it, and internists have to be able to recognize the diagnosis.
https://immattersacp.org/archives/2012/07/hepatitis.htm
1 Jul 2012

Start ART in all HIV-infected adults, expert panel says

All adults with HIV should receive antiretroviral therapy (ART) regardless of CD4 cell count, according to the 2012 International Antiviral Society-USA panel recommendations.
https://immattersacp.org/weekly/archives/2012/07/24/1.htm
24 Jul 2012

Antihypertensives associated with increased lip cancer risk

Antihypertensive drugs are linked to an increased risk for lip cancer, a new study has found.
https://immattersacp.org/weekly/archives/2012/08/14/1.htm
14 Aug 2012

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