Search results for "Hypertension"
Watch out for NAFLD, treat ASAP
While nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are dynamic processes that can progress and regress, lifestyle modification, including diet, is a must for all patients, wherever they are in their disease.
https://immattersacp.org/archives/2021/04/watch-out-for-nafld-treat-asap.htm
1 Apr 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: Midsystolic ejection click and systolic murmur
A 54-year-old man is evaluated during a routine examination. He is asymptomatic, and he exercises regularly without any limitations. Cardiac examination reveals a midsystolic ejection click and a grade 2/6 crescendo-decrescendo systolic murmur at the second right intercostal space. Following a transthoracic echocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/09/15/3.htm
15 Sep 2020
Hypertensive disorders during pregnancy associated with increased rates of later CVD
Women with gestational hypertension or preeclampsia during their first pregnancy were more likely to develop risk factors for cardiovascular disease, with the relative risk for chronic hypertension strongest within five years after a first birth.
https://immattersacp.org/weekly/archives/2018/07/03/2.htm
3 Jul 2018
Reduced CAD risk noted over time in adult survivors of childhood cancer
Data from the Childhood Cancer Survivor Study were used to examine the cumulative incidence of reported heart failure, coronary artery disease (CAD), valvular heart disease, pericardial disease, and arrhythmias according to decade of treatment (1970s, 1980s, or 1990s).
https://immattersacp.org/weekly/archives/2020/01/28/5.htm
28 Jan 2020
MKSAP Quiz: Murmur detected during a physical examination
An 18-year-old man is evaluated for a murmur detected during a college sports physical examination. He reports no symptoms and has no history of cardiac disease. He takes no medications. Following a physical exam, what is the most likely cause of this patient's murmur?
https://immattersacp.org/weekly/archives/2019/06/18/3.htm
18 Jun 2019
MKSAP Quiz: Routine office visit for patient with HIV
A 44-year-old man is evaluated in the office during a routine visit. Medical history is significant for HIV diagnosed at age 25 years, hypertension, and hyperlipidemia. He is a current smoker. Following a physical exam, lab tests, and electrocardiogram, what factors will result in underestimation of the risk for atherosclerotic cardiovascular disease in this patient?
https://immattersacp.org/weekly/archives/2018/12/18/3.htm
18 Dec 2018
Take a tiered approach to CVD
Primary care physicians' efforts are paying off as they promote primary prevention of cardiovascular disease, even in a time-pressed visit.
https://immattersacp.org/archives/2022/02/take-a-tiered-approach-to-cvd.htm
1 Feb 2022
MKSAP Quiz: 5-year history of recurrent gout
A 53-year-old man is evaluated for a 5-year history of recurrent gout attacks involving the base of the great toes, mid feet, and ankles. Episodes are becoming more frequent and severe. History is also significant for hypertension and stage 3 chronic kidney disease. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/12/11/3.htm
11 Dec 2018
Being deliberate about spontaneous bacterial peritonitis
Physicians all use diagnostic criteria when trying to determine a patient's condition, but it's important to remember the patients in whom those diagnostic criteria have been validated.
https://immattersacp.org/archives/2023/02/being-deliberate-about-spontaneous-bacterial-peritonitis.htm
1 Feb 2023