Search results for "Rheumatology"


 
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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://acpinternist.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017

Chapter activities honored with John Tooker Evergreen Awards

These awards provide recognition and visibility to Chapters that have successfully implemented programs to increase membership and member engagement, improve communication and chapter management, enhance diversity, and foster careers in internal medicine.
https://acpinternist.org/weekly/archives/2020/04/28/6.htm
28 Apr 2020

MKSAP Quiz: Follow-up visit for systemic lupus erythematosus

A 30-year-old woman is evaluated during a follow-up visit for systemic lupus erythematosus. She was diagnosed 3 months ago after presenting with pericarditis and arthritis. She was initially treated with prednisone, 40 mg/d, with improvement of her presenting symptoms. The prednisone has been tapered over 3 months to her current dose of 10 mg/d with no recurrence. Following a physical and cardiac exam, what is the most appropriate next step in treating this patient?
https://acpinternist.org/weekly/archives/2018/03/06/3.htm
6 Mar 2018

Joint guidelines on Lyme disease prevention, diagnosis, treatment open for comment

Among other recommendations, the draft guidelines favor oral antibiotic therapy with doxycycline, amoxicillin, cefuroxime axetil, or phenoxymethylpenicillin over other antimicrobials for treatment of Lyme disease.
https://acpinternist.org/weekly/archives/2019/07/02/2.htm
2 Jul 2019

MKSAP Quiz: 2-year history of rheumatoid arthritis

This week's quiz asks readers to evaluate a 52-year-old man during a follow-up visit for a 2-year history of progressively symptomatic rheumatoid arthritis.
https://acpinternist.org/weekly/archives/2016/03/29/3.htm
29 Mar 2016

MKSAP Quiz: 2-week history of left-sided headaches

An 82-year-old woman is evaluated for a 2-week history of left-sided headaches with pain on chewing, accompanied by achiness in the shoulders and hips. She has no other pertinent personal or family history. She takes no medications. Following a physical exam and lab studies, what is the most appropriate immediate next step in management?
https://acpinternist.org/weekly/archives/2017/11/14/3.htm
14 Nov 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://acpinternist.org/weekly/archives/2017/08/15/3.htm
15 Aug 2017

IDSA offers criteria on testing for COVID-19; new research looks at clots, treatments

The Infectious Diseases Society of America (IDSA) released guidance for COVID-19 testing among inpatients and outpatients, while studies offered further support for anticoagulation but showed no benefit from hydroxychloroquine or lopinavir-ritonavir.
https://acpinternist.org/weekly/archives/2020/05/12/1.htm
12 May 2020

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://acpinternist.org/weekly/archives/2017/05/09/3.htm
9 May 2017

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://acpinternist.org/archives/2014/09/mksap.htm
1 Sep 2014

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