Search results for "Nephrology"
MKSAP Quiz: 2-month history of edema
A 28-year-old man is evaluated for a 2-month history of progressive lower-extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. He has no other known medical issues and takes no medications. Following a physical exam, lab studies, and kidney analysis, what test is most likely to establish the cause of this patient's focal segmental glomerulosclerosis?
https://immattersacp.org/weekly/archives/2018/02/06/3.htm
6 Feb 2018
Examination of statin use in relation to guidelines reveals underuse in CKD patients
Differing statin guidelines are fairly concordant on use of the drugs in adults with chronic kidney disease (CKD), a study found.
https://immattersacp.org/weekly/archives/2014/11/25/5.htm
25 Nov 2014
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
Doctors with disability reflect on challenges
Physicians with disabilities who applied to and eventually completed medical school reflect on the progress and accomplishments offered by the Americans with Disabilities Act during the past 30 years.
https://immattersacp.org/archives/2020/02/doctors-with-disability-reflect-on-challenges.htm
1 Feb 2020
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
MKSAP Quiz: fatigue, anorexia, polyuria, and nocturia
A 54-year-old woman is evaluated for fatigue, anorexia, polyuria, and nocturia of several weeks' duration. She had otherwise felt well until the onset of her current symptoms. Medical history is significant for autoimmune pancreatitis diagnosed 1 year ago, treated with a prednisone taper that was completed 8 months ago with resolution of her symptoms. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/06/14/3.htm
14 Jun 2016
MKSAP Quiz: evaluation for elevated blood pressure
A 54-year-old man is evaluated for elevated blood pressure noted recently at a local health fair. On this visit and on two subsequent nurse visits, the patient's blood pressure measurements are less than 140/90 mm Hg. Following lab studies and an electrocardiogram, what is the next most appropriate step in management?
https://immattersacp.org/weekly/archives/2017/07/25/3.htm
25 Jul 2017
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: Follow-up for microscopic hematuria
A 35-year-old woman is evaluated during a follow-up visit for recurrent microscopic hematuria without proteinuria. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2022/03/08/3.htm
8 Mar 2022
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