Search results for "Kidney function"
MKSAP Quiz: Follow-up examination for diabetes
A 54-year-old woman is evaluated during a follow-up examination. She has a 22-year history of type 2 diabetes mellitus complicated by sensory neuropathy and proliferative retinopathy, for which she has received laser photocoagulation. She also has hypertension and hyperlipidemia. Medications are metformin, glipizide, atorvastatin, and lisinopril, 20 mg/d. Following a physical exam and lab studies, what is the most appropriate management of this patient's hypertension?
https://immattersacp.org/weekly/archives/2016/12/20/3.htm
20 Dec 2016
MKSAP Quiz: Episode of blood in urine
A 37-year-old woman is evaluated for an episode of blood in her urine. She notes the passage of red-colored urine that resolved spontaneously and was not associated with her menstrual cycle. She reports having had several similar episodes in the past. She has no other symptoms such as abdominal pain or dysuria. Medical history is otherwise unremarkable, and she takes no medications. Following a physical exam and lab studies, what is the most appropriate next step in the evaluation of this patient?.
https://immattersacp.org/archives/2016/11/mksap.htm
1 Nov 2016
Managing food poisoning's aftermath in ambulatory care
Internal medicine staff can be the starting point for acute cases of food poisoning, starting the screening process on the telephone and helping determine which patients should be sent right to the ED. But they can also help patients afterward, as they manage potentially long-term complications.
https://immattersacp.org/archives/2016/10/food-poisoning.htm
1 Oct 2016
MKSAP Quiz: evaluation for acute kidney injury
A 57-year-old man is evaluated for a diagnosis of acute kidney injury. He was diagnosed with gastroesophageal reflux disease 3 weeks ago and was prescribed omeprazole. Several days ago he noticed lower extremity swelling and decreased frequency of urination. Laboratory evaluation showed a serum creatinine level of 2.2 mg/dL (194.5 µmol/L). Medical history is otherwise unremarkable. Following a physical exam and discontinuing omeprazole, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/09/13/3.htm
13 Sep 2016
10 tips for inpatient geriatric care
Optimizing inpatient geriatric care is a common priority for physicians, according to a speaker at the Society of Hospital Medicine's 2016 meeting, held in San Diego in March.
https://immattersacp.org/archives/2016/06/geriatrics.htm
1 Jun 2016
MKSAP Quiz: Evaluation 4 months after a stroke
A 77-year-old woman is evaluated 4 months following a left middle cerebral artery ischemic stroke. The severity of her stroke required prolonged initial hospitalization and a 3-month stay in a rehabilitation center before returning home. Residual deficits include dense right-sided hemiparesis and dysphagia requiring oral feeding with thickened liquids. Following a physical exam and lab studies, what is the most likely cause of this patient's decreased serum creatinine level?
https://immattersacp.org/weekly/archives/2016/03/08/3.htm
8 Mar 2016
Masked hypertension common in CKD, especially with elevated nighttime blood pressure
Masked hypertension occurs commonly in patients with chronic kidney disease and is associated with lower estimated glomerular filtration rate, proteinuria, and cardiovascular target organ damage.
https://immattersacp.org/weekly/archives/2016/03/01/3.htm
1 Mar 2016
MKSAP Quiz: 2-day history of increasing pain
A 30-year-old woman is evaluated for a 2-day history of increasing pain in the right antecubital fossa and biceps. She reports daily injection drug use. Medical history is otherwise unremarkable, and she takes no prescription medications. The right biceps area is extremely tender and warm, with multiple track marks, woody induration, edema, and overlying ecchymotic bullous lesions. In addition to emergent surgical evaluation, which of the following is the most appropriate empiric treatment?
https://immattersacp.org/weekly/archives/2016/03/01/4.htm
1 Mar 2016
Changes, challenges in treating heart failure
Readmissions among heart failure patients can be prevented with diligent, evidence-based primary care. But with their time at a premium, physicians can be increasingly concerned about meeting the needs of this population.
https://immattersacp.org/archives/2016/02/heart-failure.htm
1 Feb 2016
MKSAP Quiz: Gout with flares
This week's quiz asks readers to determine the appropriate next step in management for a 59-year-old man with a 6-month history of gout, hypersensitivity to allopurinol, and more frequent gout flares.
https://immattersacp.org/weekly/archives/2015/09/15/3.htm
15 Sep 2015