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
MKSAP Quiz: 3-year history of palpitations, fatigue
A 42-year-old woman is evaluated for a 3-year history of palpitations and fatigue. She reports no chest pain, dizziness, near-syncope, or syncope. Ambulatory 24-hour electrocardiographic monitoring shows frequent monomorphic premature ventricular contractions (22% of all beats) and frequent ventricular bigeminy. What is the most appropriate management?
https://immattersacp.org/archives/2021/06/mksap-quiz-3-year-history-of-palpitations-fatigue.htm
1 Jun 2021
Hydrochlorothiazide no better than placebo for preventing kidney stone recurrence
A randomized, double-blind, placebo-controlled trial in Switzerland found that patients with a history of recurring kidney stones were no less likely to experience symptomatic or radiologic recurrence with hydrochlorothiazide versus placebo.
https://immattersacp.org/weekly/archives/2023/03/07/1.htm
7 Mar 2023
Why internists should care about lipoprotein(a)
Lipoprotein(a) can be a significant risk factor for heart disease and requires consideration when developing a plan of care, especially in the highest risk patients.
https://immattersacp.org/archives/2020/05/why-internists-should-care-about-lipoproteina.htm
1 May 2020
MKSAP Quiz: Managing a congenital heart defect in an adult
A 24-year-old woman diagnosed with a ventricular septal defect at age 7 months undergoes routine examination. The S1 and S2 are masked by a loud holosystolic murmur noted at the left lower sternal border. A transthoracic echocardiogram demonstrates a membranous ventricular septal defect with a small left-to-right shunt. After review of additional results from cardiac testing, what is the appropriate management?
https://immattersacp.org/weekly/archives/2020/11/24/3.htm
24 Nov 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
Personal choices may sway mammography
Primary care physicians who raise the subject of breast cancer screening with their patients may discover that they approach this decision from a different perspective.
https://immattersacp.org/archives/2021/10/personal-choices-may-sway-mammography.htm
1 Oct 2021
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
How COVID-19 affects the liver
There is increasing evidence of direct, virally mediated liver injury caused by SARS-CoV-2, leading to enzyme elevations, lobular necroinflammation and/or portal interface hepatitis, and steatosis.
https://immattersacp.org/archives/2021/03/how-covid-19-affects-the-liver.htm
1 Mar 2021
MKSAP Quiz: Persistent rhinorrhea, frontal headache
A 45-year-old woman is evaluated for 4-month history of persistent rhinorrhea, frontal headache, loss of smell, and malaise. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/06/28/3.htm
28 Jun 2022