Search results for "Hypertension"
MKSAP Quiz: Evaluation for hidradenitis suppurativa
A 32-year-old woman is evaluated for hidradenitis suppurativa. She has had tender, foul-smelling, draining nodules in the axillary folds for 4 years. Doxycycline and topical clindamycin have not achieved satisfactory improvement. Following a physical exam and lifestyle support, what is the most appropriate additional treatment?
https://immattersacp.org/archives/2022/10/mksap-quiz-evaluation-for-hidradenitis-suppurativa.htm
1 Oct 2022
New category of OTC hearing aids; FMT and monkeypox
This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2022/10/new-category-of-otc-hearing-aids-fmt-and-monkeypox.htm
1 Oct 2022
Most incidental adrenal tumors are nonfunctioning, regardless of patient age, study finds
A Chinese study of a healthy community population found adrenal tumors in 1.6% of men and 1.2% of women. Prevalence increased with age from 0.2% in adults ages 18 to 25 years to 3.2% in adults older than age 65 years.
https://immattersacp.org/weekly/archives/2022/09/13/4.htm
13 Sep 2022
New studies analyze risk factors, treatments for afib
One study found that early rhythm control was better than rate control for low-risk patients, another found that age at menarche and menopause was associated with afib risk, and another indicated that women's lower risk for afib is due to their smaller body size compared with men.
https://immattersacp.org/weekly/archives/2022/09/06/1.htm
6 Sep 2022
Improving medication adherence
Asking “How do you take your medicine?” instead of “Do you take your medicine?” is one way to learn more about a patient's ideas, philosophy, and understanding.
https://immattersacp.org/archives/2022/09/improving-medication-adherence.htm
1 Sep 2022
App-enabled device no better than standard device for self-measuring blood pressure
A smartphone app did not provide any additional reduction in blood pressure, and patients with hypertension would recommend a standard device as much as they would the app-connected device, a study concluded.
https://immattersacp.org/weekly/archives/2022/08/23/2.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
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
Individualize behavioral counseling in those without CVD risk factors, USPSTF says
In an update consistent with its 2017 recommendation, the U.S. Preventive Services Task Force (USPSTF) recommended that clinicians individualize the use of behavioral counseling interventions to promote a healthy diet and physical activity in adults without risk factors for cardiovascular disease (CVD).
https://immattersacp.org/weekly/archives/2022/08/02/4.htm
2 Aug 2022
MKSAP quiz: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022