Search results for "Kidney function"
New gout guidelines and 'treat to target'
Guidelines by ACP and by rheumatology societies disagree on the treat-to-target approach to therapy.
https://immattersacp.org/archives/2017/04/gout.htm
1 Apr 2017
New warnings on benzodiazepines
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/11/new-warnings-on-benzodiazepines.htm
1 Nov 2020
MKSAP quiz: Evaluation for recurrent nephrolithiasis
This week's quiz asks readers to determine the most appropriate additional treatment for a 28-year-old man with recurrent nephrolithiasis.
https://immattersacp.org/weekly/archives/2017/04/18/3.htm
18 Apr 2017
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
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
MKSAP Quiz: Evaluation for primary hyperparathyroidism
A 67-year-old man is evaluated for a recent diagnosis of primary hyperparathyroidism after an elevated serum calcium level was incidentally detected on laboratory testing. Medical history is significant only for hypertension, and his only medication is ramipril. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2017/02/14/3.htm
14 Feb 2017
MKSAP Quiz: progressive exertional fatigue and dyspnea
A 77-year-old man with a 5-year history of idiopathic cardiomyopathy is evaluated for progressive exertional fatigue and dyspnea. He has recently stopped carrying groceries in from the car because of his exertional dyspnea. He had an implantable cardioverter-defibrillator placed 3 years ago. Medical history is also significant for hypertension. Medications are lisinopril, 40 mg/d; metoprolol succinate, 25 mg/d; furosemide, 40 mg/d; and spironolactone, 25 mg/d. Following a physical exam and electrocardiogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/01/31/3.htm
31 Jan 2017
Stopping renin-angiotensin system inhibitors in advanced CKD did not appear to affect eGFR
A randomized open-label trial in the United Kingdom found that withdrawal of angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers in patients with advanced chronic kidney disease (CKD) did not affect estimated glomerular filtration rate (eGFR).
https://immattersacp.org/weekly/archives/2022/11/08/2.htm
8 Nov 2022
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
Two models may offer accurate assessment of GFR in older adults
Two newly developed estimates of glomerular filtration rate (GFR) may provide more accurate assessment of kidney function in older adults, a study found.
https://immattersacp.org/weekly/archives/2012/10/02/4.htm
2 Oct 2012