Search results for "Rheumatology"
Shingles vaccine can be given before starting tofacitinib, industry-funded study says
The authors concluded that tofacitinib alone for the treatment of rheumatoid arthritis should be considered to help reduce the risk of shingles in vaccinated patients, provided that patients' arthritis remains controlled on the drug.
https://immattersacp.org/weekly/archives/2017/08/29/5.htm
29 Aug 2017
MKSAP quiz: 2-month history of weight loss, abdominal cramping, loose stools
A 32-year-old woman is evaluated for a 2-month history of weight loss, abdominal cramping, and loose stools. Her stools are malodorous, but she has not noted any blood associated with her bowel movements. Although her appetite is good, she has lost 3.2 kg (7.0 lb). She has an 8-year history of diffuse cutaneous systemic sclerosis. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/08/15/3.htm
15 Aug 2017
MKSAP Quiz: 1-year history of fatigue, headaches, sore throat
A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017
ACR guideline recommends customized approach for prevention of glucocorticoid-induced osteoporosis
Recommendations include treating only with calcium and vitamin D in adults at low fracture risk, and adding an additional osteoporosis medication (oral bisphosphonate preferred) in adults at moderate to high fracture risk.
https://immattersacp.org/weekly/archives/2017/06/20/2.htm
20 Jun 2017
MKSAP Quiz: 2-year history of low libido
A 37-year-old man is evaluated for a 2-year history of low libido, loss of morning erections, fatigue, and decreasing muscle mass. His medical history is otherwise unremarkable. He takes no medications. A physical exam, lab studies, and pituitary MRI are done. Before starting therapy for this patient, what else should be determined?
https://immattersacp.org/weekly/archives/2017/05/09/3.htm
9 May 2017
MKSAP Quiz: 8-year history of joint pain
A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2017/05/mksap.htm
1 May 2017
Obesity may influence rheumatoid arthritis blood tests
The effect of obesity on C-reactive protein may alter its performance as a biomarker of disease activity in clinical trials and in practice, authors said.
https://immattersacp.org/weekly/archives/2017/04/11/1.htm
11 Apr 2017
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
Statins, gout guidelines fuel debate on best practice
This issue covers the debate about statins guidelines, evidence-based guidelines for gout, and physicians-in-training who face discrimination.
https://immattersacp.org/archives/2017/04/editors.htm
1 Apr 2017
PERSPECTIVES 4 ACP Internist Last November, the debate over ...
internal medicine and rheumatology. Last year, ACP released new evidence-based guidelinesoffering recommendations on diagnosis and treatment of gout, but it was a lack of a recom-mendation that actually caused
https://immattersacp.org/archives/2017/04/acpi-201704-dynamed_t1.pdf
23 Mar 2017