Search results for "Imaging"
ICD detection, treatment of arrhythmias not impacted by MRI
Evidence is accumulating that MRIs do not induce clinically significant functional changes in non-MRI-conditional implantable cardioverter-defibrillators (ICDs), according to the authors of a recent study that followed the devices' performance for about two years after an MRI.
https://immattersacp.org/weekly/archives/2023/01/31/1.htm
31 Jan 2023
Relationships between primary care physicians, specialists may affect patient satisfaction
Patients gave higher ratings after a referral if the specialist trained with their primary care physician, a quasi-experimental study found.
https://immattersacp.org/weekly/archives/2023/01/10/4.htm
10 Jan 2023
MKSAP Quiz: Recently identified monoclonal protein
A 61-year-old woman is seen in consultation regarding a recently identified monoclonal protein. Medical history is notable for rheumatoid arthritis that has been stable for several years. Following a physical exam and lab tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/03/3.htm
3 Jan 2023
3 physical exam pearls for patients with pain
Pearl No. 1: The Carnett sign can help clinicians determine if imaging is needed to diagnose pain.
https://immattersacp.org/archives/2023/01/3-physical-exam-pearls-for-patients-with-pain.htm
1 Jan 2023
No easy ‘off switch’ for low back pain
There's no easy way to cure low back pain, but recommending a mix of therapies along with a dose of reassurance can often provide patients a measure of relief.
https://immattersacp.org/archives/2022/11/no-easy-off-switch-for-low-back-pain.htm
1 Nov 2022
MKSAP Quiz: Left-sided facial weakness
A 36-year-old woman is evaluated for left-sided facial weakness. Over the last 10 days she has developed progressive weakness on the left side of her face, which is apparent with eye closure, smiling, and chewing. She has also reduced tearing and diplopia. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/10/18/3.htm
18 Oct 2022
MKSAP Quiz: Follow-up visit for chronic hypertension
A 44-year-old woman is evaluated during a follow-up visit for chronic hypertension. Over the past month, her average blood pressure measured with home blood pressure monitoring was 150/90 mm Hg. Following a physical exam and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/10/11/3.htm
11 Oct 2022
AHA scientific statement offers guidance on LV thrombus
Among other recommendations, clinicians should treat patients with left ventricular (LV) thrombus after myocardial infarction using oral anticoagulants for three months, the American Heart Association (AHA) said.
https://immattersacp.org/weekly/archives/2022/09/20/4.htm
20 Sep 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
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