Search results for "Kidney function"
Too early to tell on sickle cell 'cures'
New therapies for sickle cell disease create an opportunity for primary care physicians to ensure that their adult patients are regularly meeting with a specialist to review treatment options.
https://immattersacp.org/archives/2024/04/too-early-to-tell-on-sickle-cell-cures.htm
1 Apr 2024
Digoxin still used, but toxicity not appreciated
Add digoxin toxicity to your checklist of diagnostic suspicions, and consider standing orders to check serum levels in certain populations.
https://immattersacp.org/archives/2024/04/digoxin-still-used-but-toxicity-not-appreciated.htm
1 Apr 2024
MKSAP Quiz: Evaluation for multiple myeloma
A 64-year-old man is evaluated following a recent diagnosis of multiple myeloma. Chemotherapy is planned to begin in 14 days. Which prophylactic therapy is indicated today?
https://immattersacp.org/weekly/archives/2023/12/05/3.htm
5 Dec 2023
Muscle relaxants compared for fall risk in older patients
Among new users ages 65 years and older, baclofen was associated with a higher risk of fall compared to tizanidine but no significant increase in risk versus cyclobenzaprine, a study found.
https://immattersacp.org/weekly/archives/2023/11/14/2.htm
14 Nov 2023
MKSAP Quiz: Follow-up of hypoparathyroidism
A 57-year-old man is evaluated during routine follow-up of hypoparathyroidism. He underwent resection of locally advanced squamous cell carcinoma of the tongue base and received adjuvant radiation therapy. Hypoparathyroidism developed after treatment. Serum calcium, magnesium, and urine calcium excretion are measured. What measurement should also be obtained for management of this patient's hypoparathyroidism?
https://immattersacp.org/weekly/archives/2023/11/07/3.htm
7 Nov 2023
PrEPare for HIV care
Internal medicine physicians are already trained to care for complex medical conditions, and HIV is no different, especially as adults age and develop diabetes, heart disease, and other conditions.
https://immattersacp.org/archives/2023/11/prepare-for-hiv-care.htm
1 Nov 2023
Acute kidney injury not associated with worsening of chronic kidney disease
Once researchers accounted for patient characteristics, such as prehospitalization estimated glomerular filtration rate (eGFR) slope and level of proteinuria, an episode of acute kidney injury in the hospital did not predict subsequent decline in eGFR.
https://immattersacp.org/weekly/archives/2023/07/11/1.htm
11 Jul 2023
Be on alert for blood cancer precursors
Joseph R. Mikhael, MD, FACP, reviewed practical approaches to two premalignant conditions, monoclonal gammopathy of undetermined significance (MGUS) and monoclonal B-cell lymphocytosis (MBL).
https://immattersacp.org/archives/2023/07/be-on-alert-for-blood-cancer-precursors.htm
1 Jul 2023
Updated Beers criteria highlight medications that are risky in older patients
The American Geriatrics Society has added warfarin as a medication to avoid and urged caution with sodium-glucose cotransporter-2 inhibitors in the latest update of its guidance on prescribing for U.S. adults ages 65 years and older.
https://immattersacp.org/weekly/archives/2023/05/16/1.htm
16 May 2023
Parathyroidectomy for primary hyperparathyroidism didn't affect kidney function in older patients
While parathyroidectomy was not associated with risk of estimated glomerular filtration rate decline in patients ages 60 years and older with primary hyperparathyroidism, there was reduced risk in younger patients, a retrospective study found.
https://immattersacp.org/weekly/archives/2023/04/11/2.htm
11 Apr 2023