Search results for "Imaging"
MKSAP Quiz: 1-week history of chest pressure
A 35-year-old woman is evaluated for a 4-month history of exertional dyspnea and a 1-week history of chest pressure. She has no sputum production, cough, or wheezes. She has never smoked. Following a physical examination, laboratory studies, electrocardiogram, and chest radiograph, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2020/03/17/3.htm
17 Mar 2020
Wrestling with wearables that screen for afib
Experts remain uncertain how to judge wearables and smartphone apps' cost-effectiveness, data quality, and clinical implications among pre-symptomatic patients diagnosed with atrial fibrillation.
https://immattersacp.org/archives/2020/02/wrestling-with-wearables-that-screen-for-afib.htm
1 Feb 2020
MKSAP Quiz: 1-year history of edema, abdominal distention
A 72-year-old man is evaluated for a 1-year history of bilateral lower extremity edema and abdominal distention. Eight years ago he had esophageal carcinoma treated with radiotherapy. Medical history is otherwise significant for hypertension, type 2 diabetes mellitus, and hypercholesterolemia. Following a physical exam, lab studies, and chest radiographs, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/02/mksap-quiz-1-year-history-of-edema-abdominal-distention.htm
1 Feb 2020
New warnings for gabapentinoids; other drugs approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/02/new-warnings-for-gabapentinoids-other-drugs-approved.htm
1 Feb 2020
Ultrasound proliferates at the point of care
Point-of-care ultrasound technology is now available in a wide variety of inpatient and outpatient settings.
https://immattersacp.org/archives/2020/01/ultrasound-proliferates-at-the-point-of-care.htm
1 Jan 2020
Safety nets catch at-risk patients
Brigham and Women's Hospital has seen positive results from creating ambulatory safety nets for patients at risk for cancer.
https://immattersacp.org/archives/2020/01/safety-nets-catch-at-risk-patients.htm
1 Jan 2020
MKSAP Quiz: 2-month history of increased dyspnea
A 48-year-old woman is evaluated for a 2-month history of increased dyspnea, wheezing, and nonproductive cough. She also reports intermittent pain and swelling in the wrists and knees for the past 6 months. She was diagnosed with scleritis of the left eye 1 month ago that improved with glucocorticoid drops. She also had two episodes of right pinna pain, redness, and swelling. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/01/mksap-quiz-2-month-history-of-increased-dyspnea.htm
1 Jan 2020
Recalls of generic drugs raise safety concerns
This issue also includes stories on antibiotic stewardship and point-of-care ultrasound, as well as conference coverage from the American Public Health Association and CHEST.
https://immattersacp.org/archives/2020/01/recalls-of-generic-drugs-raise-safety-concerns.htm
1 Jan 2020
MRI screening led to lower rate of interval cancers in women with dense breasts
While following a negative mammogram with MRI screening halved the risk of interval cancer in women with dense breast tissue, the impact on survival remains unclear, an editorial said.
https://immattersacp.org/weekly/archives/2019/12/10/4.htm
10 Dec 2019
MKSAP Quiz: 5-month history of exertional chest discomfort
A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019