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MKSAP Quiz: 2-month history of edema

A 28-year-old man is evaluated for a 2-month history of progressive lower-extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. He has no other known medical issues and takes no medications. Following a physical exam, lab studies, and kidney analysis, what test is most likely to establish the cause of this patient's focal segmental glomerulosclerosis?
https://immattersacp.org/weekly/archives/2018/02/06/3.htm
6 Feb 2018

Gout drug concerns; monthly buprenorphine injection OK'd

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/02/gout-drug-concerns-monthly-buprenorphine-injection-okd.htm
1 Feb 2018

Many med students unprepared as PrEP prescribing increases

Limited knowledge, beliefs, and experiences regarding pre-exposure prophylaxis for HIV have improved among current clinicians, but medical students haven't seen the same experience.
https://immattersacp.org/archives/2018/01/many-med-students-unprepared-as-prep-prescribing-increases.htm
1 Jan 2018

MKSAP Quiz: 1-week history of headache

A 28-year-old woman is evaluated in the emergency department for a 1-week history of progressive headache associated with nausea and vomiting. Medical history is significant for HIV infection. She is nonadherent to her antiretroviral therapy regimen and takes no other medications. Following a physical exam, lab tests, and a CT scan of the head, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/01/mksap-quiz-1-week-history-of-headache.htm
1 Jan 2018

Problems and potential with probiotics

Probiotics are becoming more prevalent in both consumer and health care settings, but the excitement is tempered by problems, including how to define what is and what isn't one.
https://immattersacp.org/archives/2018/01/problems-and-potential-with-probiotics.htm
1 Jan 2018

‘Right-to-try’ laws spark debate

This issue covers the ethics of right-to-try laws in the United States, the potential of ransomware to disrupt a physician's office, and conference coverage from infectious disease and cardiology sessions.
https://immattersacp.org/archives/2018/01/right-to-try-laws-spark-debate.htm
1 Jan 2018

ACP, CDC issue best practice advice on HBV

Clinicians should screen for hepatitis B virus (HBV) in patients at high risk, such as those born in countries where the HBV prevalence is 2% or higher, men who have sex with men, patients who require immunosuppressive therapy, or patients with end-stage renal disease.
https://immattersacp.org/weekly/archives/2017/11/21/1.htm
21 Nov 2017

MKSAP Quiz: Follow-up after HIV testing

A 25-year-old man is evaluated in follow-up after HIV testing. He states he has sex with other men and usually uses condoms. He had a negative HIV test result 1 year ago. He feels well today but reports having a flulike illness last week with mild fever, headache, myalgias, and fatigue; these symptoms have resolved. Following a physical exam and immunoassays, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/10/17/3.htm
17 Oct 2017

Primary care takes on opioid addiction

There's a lot that primary care clinicians can do to treat opioid addiction, but stigma about the condition, as well as laws and other regulations, throw up barriers.
https://immattersacp.org/archives/2017/10/primary-care-takes-on-opioid-addiction.htm
1 Oct 2017

A good month to raise the rates

There are several important revisions for adult immunizations, including not using the live attenuated influenza vaccine for the 2017-2018 flu season.
https://immattersacp.org/archives/2017/10/a-good-month-to-raise-the-rates.htm
1 Oct 2017

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