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Insulin cartridge holders recalled, HCV drug approved

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/09/insulin-cartridge-holders-recalled-hcv-drug-approved.htm
1 Sep 2017

MKSAP quiz: 2-week history of rash on face, midchest

This week's quiz asks readers to determine the most likely diagnosis for a 32-year-old man evaluated for a 2-week history of a rash on his face and midchest consisting of small, reddish, intensely itchy “lumps.”
https://immattersacp.org/weekly/archives/2017/08/29/4.htm
29 Aug 2017

MKSAP Quiz: 1-year history of fatigue, headaches, sore throat

A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017

ACP and the American Academy of HIV Medicine collaborate on new guide to hepatitis C testing

The new guide includes a summary of the latest testing recommendations; diagnostic, billing, and laboratory codes for testing; resources for referrals to HCV-experienced clinicians; and information on patient interactions, education, conversations, and case examples.
https://immattersacp.org/weekly/archives/2017/05/16/5.htm
16 May 2017

MKSAP quiz: 5-day history of nodules

A 29-year-old woman is evaluated for a 5-day history of nodules over her lower extremities. She reports that she regularly visits a local spa that uses whirlpool footbaths during her pedicure procedures; she always shaves her legs with a razor before these visits. Medical history is unremarkable, and she takes no medications. Following a physical exam, punch biopsy of a lesion, and tissue cultures, what is the most likely cause of infection?
https://immattersacp.org/weekly/archives/2017/04/11/3.htm
11 Apr 2017

Adult immunization schedule released for 2017

The Advisory Committee on Immunization Practices has released its 2017 Recommended Immunization Schedule for adults, with changes to influenza, human papillomavirus, hepatitis B, and meningococcal vaccinations.
https://immattersacp.org/weekly/archives/2017/02/07/4.htm
7 Feb 2017

MKSAP Quiz: itching lasting 5 months

A 53-year-old man is evaluated for whole-body itching lasting 5 months that is not improved by a short course of emollients and antihistamine medication. Review of systems is negative. He does not take any medications. On physical examination, excoriations are noted on his legs, shoulders, and back; the remainder of the examination is normal. After normal results on laboratory tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/02/07/3.htm
7 Feb 2017

Who loses if Obamacare is repealed? Just about everyone

Republican congressional leaders are beginning the process of enacting legislation to repeal the Affordable Care Act (ACA) in stages, using a process that has been called repeal, delay, and replace.
https://immattersacp.org/archives/2017/02/washington.htm
1 Feb 2017

MKSAP Quiz: evaluation for chest discomfort and cough

A 45-year-old man is evaluated for right-sided chest discomfort and cough of 2 weeks' duration. His chest discomfort is described as a vague, painful sensation on the right. The cough occasionally produces a small amount of sputum; he reports no hemoptysis or shortness of breath. He has felt feverish with mild fatigue but has had no weight loss. He is a smoker with a 20-pack-year history. Following a physical exam and chest radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/12/13/3.htm
13 Dec 2016

HIV and chronic HBV/HCV co-infection may increase non-Hodgkin's lymphoma risk

Co-infected patients with poor immune status or restoration are at high risk for non-Hodgkin's lymphoma and death and deserve high priority for access to well-tolerated, interferon-free, direct-acting antiviral treatment programs, study authors noted.
https://immattersacp.org/weekly/archives/2016/10/18/2.htm
18 Oct 2016

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