Search results for "Hypertension"
MKSAP Quiz: 1-year history of weight gain, easy bruising
A 52-year-old woman is evaluated for a 1-year history of a 6.8-kg (15-lb) weight gain, easy bruising, hypertension, and worsening diabetes control. Lab studies reveal hypercortisolism. What is the most likely cause?
https://immattersacp.org/weekly/archives/2021/07/20/3.htm
20 Jul 2021
MKSAP Quiz: 3-year history of severe rheumatoid arthritis
A 67-year-old woman is evaluated for a 3-year history of severe rheumatoid arthritis. After some changes in therapy, she has done well with tocilizumab and methotrexate over the past year. She notes several months of prominent fatigue. Lab studies demonstrate anemia. What is its most likely cause?
https://immattersacp.org/weekly/archives/2020/09/01/5.htm
1 Sep 2020
MKSAP Quiz: 1-year history of progressive fatigue, dyspnea, edema
A 62-year-old man is evaluated for a 1-year history of progressive fatigue, dyspnea on exertion, and lower-extremity edema. He has been hospitalized twice in the past year for heart failure. Following a physical exam and electrocardiogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/03/23/3.htm
23 Mar 2021
MKSAP Quiz: 1-year history of weight gain, fatigue, easy bruising
A 48-year-old woman who works the night shift presents with a one-year history of gaining 25 pounds, as well as fatigue, easy bruising, and difficulty remembering things. Medical history is significant for hypertension, type 2 diabetes, and menopausal hot flushes. After medication review and physical exam, what is the most appropriate next step in evaluation?
https://immattersacp.org/weekly/archives/2020/12/15/3.htm
15 Dec 2020
MKSAP Quiz: Follow-up for systemic lupus erythematosus
A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
https://immattersacp.org/weekly/archives/2022/04/05/3.htm
5 Apr 2022
MKSAP Quiz: Evaluation for osteoporosis
A 78-year-old woman is evaluated for osteoporosis. She was diagnosed 5 years ago following a fragility fracture in the left hip. Following medical treatment and dual-energy x-ray absorptiometry, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/04/19/3.htm
19 Apr 2022
MKSAP Quiz: 4-week history of dyspnea on exertion
A 54-year-old woman is evaluated for a 4-week history of dyspnea on exertion, malaise, fatigue, and anorexia. History is significant for hypertension, gout, and osteoarthritis. Following a physical exam, lab studies, and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/10/27/3.htm
27 Oct 2020
MKSAP Quiz: 8-week history of postprandial abdominal pain
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022
Paternal metformin use associated with major birth defects
A prospective registry-based study in Denmark found that offspring of men who filled one or more prescriptions for metformin during the three months of developing fertilizing sperm were more likely to have a birth defect, while insulin and sulfonylureas were not associated with increased risk.
https://immattersacp.org/weekly/archives/2022/03/29/2.htm
29 Mar 2022
SPRINT issues final report finding fewer cardiovascular events with intensive blood pressure control
Patients treated to a systolic blood pressure target less than 120 mm Hg instead of less than 140 mm Hg had lower rates of cardiovascular events but more incidence of some adverse events, according to new follow-up data.
https://immattersacp.org/weekly/archives/2021/05/25/5.htm
25 May 2021