Search results for "Kidney function"
Dabigatran may interact with BP meds in patients with afib and normal kidney function
U.S. guidance currently recommends a lower dabigatran dose in those taking P-glycoprotein inhibitors only if kidney function is impaired.
https://immattersacp.org/weekly/archives/2020/04/28/4.htm
28 Apr 2020
MKSAP Quiz: Follow-up for back pain 1 week ago
A 26-year-old man is evaluated during a follow-up visit after presenting to an urgent care clinic for back pain 1 week ago. Laboratory studies at that time were significant for a serum creatinine level of 1.4 mg/dL (123.8 µmol/L); other laboratory studies, including urinalysis, were normal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/03/03/3.htm
3 Mar 2020
MKSAP Quiz: Follow-up for primary membranous glomerulopathy
A 38-year-old woman is evaluated during a follow-up visit for primary membranous glomerulopathy diagnosed by kidney biopsy 4 months ago. She was found to be positive for anti–phospholipase A2 receptor (PLA2R) antibodies. Vital signs are normal and there is pitting lower extremity edema to the mid shins bilaterally. What complication is she at risk for developing?
https://immattersacp.org/weekly/archives/2019/11/05/3.htm
5 Nov 2019
MKSAP Quiz: Evaluation for an elevated globulin fraction
A 67-year-old woman undergoes follow-up evaluation for an elevated globulin fraction of total serum protein level. She has no symptoms. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/07/23/3.htm
23 Jul 2019
Non-vitamin K oral anticoagulants appear superior to vitamin K antagonists in early-stage CKD
An accompanying editorial said that the current review supports a superior benefit profile of non-vitamin K oral anticoagulants (NOACs) in patients with atrial fibrillation and early-stage chronic kidney disease (CKD).
https://immattersacp.org/weekly/archives/2019/07/16/2.htm
16 Jul 2019
To test or not to test for inherited thrombophilias
First consider whether a deep venous thrombosis was provoked or unprovoked, as well as at the type of provoking factors.
https://immattersacp.org/archives/2019/06/to-test-or-not-to-test-for-inherited-thrombophilias.htm
1 Jun 2019
MKSAP quiz: Follow-up for multiple myeloma
A 62-year-old man diagnosed with multiple myeloma 3 weeks ago is found to have multiple lytic lesions in the spine and pelvis on follow-up examination. His vertebral height was maintained. He is receiving bortezomib, lenalidomide, and dexamethasone for myeloma. After physical examination and laboratory studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/04/30/3.htm
30 Apr 2019
MKSAP Quiz: 3-year history of fatigue
A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/04/23/3.htm
23 Apr 2019
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
MKSAP Quiz: Abrupt episode of syncope
A 40-year-old man is evaluated in the emergency department for syncope. He was attending a baseball game when he experienced a witnessed, abrupt episode of syncope while seated. He did not experience any prodromal symptoms. Following a physical exam, lab studies, and an electrocardiogram, what is the most appropriate management?
https://immattersacp.org/archives/2018/07/mksap-quiz-abrupt-episode-syncope.htm
1 Jul 2018