Search results for "Lyme disease"
Weight loss, MOC featured in meeting coverage
This issue covers the wrap-up of news from Internal Medicine Meeting 2017.
https://immattersacp.org/archives/2017/06/editors.htm
1 Jun 2017
MKSAP Quiz: Evaluation for a skin eruption
A 47-year-old man is evaluated for a skin eruption. Approximately 2 weeks ago, his wife noted an erythematous macule on his back. Over the ensuing week, the site became progressively larger. He notes mild fatigue but no fevers. He recently returned from a vacation in Massachusetts, which included outdoor activities such as bike riding and walking to the beach. He reports no known tick attachment. On physical examination, temperature is 37.2##deg;C (100.0##deg;F), blood pressure is 117/68 mm Hg, pulse rate is 52/min, and respiration rate is 18/min. The skin lesion is shown. Which of the following is the most appropriate management?.
https://immattersacp.org/archives/2016/10/mksap.htm
1 Oct 2016
Clearing the air about climate change
Climate change is a public health issue, and physicians should be aware of the potential medical consequences and be able to communicate those to patients.
https://immattersacp.org/archives/2016/09/climate-change.htm
1 Sep 2016
Noninvasive treatment almost always best for knee pain
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
https://immattersacp.org/archives/2016/04/knees.htm
1 Apr 2016
MKSAP Quiz: persistent right-sided facial weakness
A 53-year-old man is evaluated for persistent right-sided facial weakness. Three months ago, he first noticed “droopiness” of the right side of his lower face, difficulty closing the right eye and wrinkling the forehead, increased sensitivity to loud noises, and occasional slurred speech. Bell palsy was diagnosed, and he began a 10-day course of prednisone. He has noted only limited improvement, with continued facial drooping and mildly dysarthric speech; he now uses an eye patch over his right eye at night. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/12/15/3.htm
15 Dec 2015
New Patient FACTS resources now available to increase understanding of common health conditions
Topics include asthma, chronic obstructive pulmonary disease, diabetes, high cholesterol, hypertension, Lyme disease, migraine, osteoporosis, pneumonia, rheumatoid arthritis, stroke, and more.
https://immattersacp.org/weekly/archives/2015/10/27/6.htm
27 Oct 2015
MKSAP Quiz: 3-month history of fatigue, rash
A 58-year-old woman is evaluated for a 3-month history of fatigue and a nonpruritic rash on the chest and arms. The rash worsens with sun exposure. The patient reports no pleurisy, dryness of the eyes or mouth, arthritis, or Raynaud phenomenon. There is no evidence of synovitis. The appearance of the rash is shown. A physical exam and laboratory tests are normal. Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive. What is the most likely diagnosis?.
https://immattersacp.org/archives/2014/09/mksap.htm
1 Sep 2014
MKSAP Quiz: Skin eruption after tick removal
A 22-year-old man is evaluated for a skin eruption on his leg. The patient lives in Virginia and is active outdoors. One week ago, he found a black tick on his lower leg, which his roommate removed with a tweezers. Yesterday he developed diffuse myalgia, neck stiffness, and fatigue. These symptoms have persisted, and today he notes erythema at the site of the previously attached tick. Following a physical examination, and skin findings, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/06/mksap.htm
1 Jun 2014
INTERNAL MEDICINE ■ Express personal regret and apolo-gize; ■ ...
The skin lesion shown is consistentwith erythema migrans, and oral doxycy-cline should be started immediately.Erythema migrans may be due to eitherearly localized Lyme disease or Southerntick–associated rash illness. ... Intravenous ceftriaxone is reserved forpatients with cardiac or neurologic mani-festations of disseminated Lyme disease.
https://immattersacp.org/archives/2014/06/acpi-201406-puzzle_t2.pdf
21 May 2014
New tickborne illness may present as human granulocytic anaplasmosis
Two patients originally diagnosed with human granulocytic anaplasmosis (HGA) were found to have Borrelia miyamotoi infection instead, according to a new case report.
https://immattersacp.org/weekly/archives/2013/07/02/4.htm
2 Jul 2013