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.
1 Apr 2016
A 46-year-old woman is evaluated for a 3-month history of pain and swelling of the hands, dyspnea, and wheezing. She has no other pertinent personal or family medical history. She takes naproxen as needed for pain relief. Following a physical exam and laboratory studies, what is the most appropriate diagnostic test to perform next in this patient?.
1 Sep 2013
The safety and effectiveness of live virus vaccines, such as the varicella-zoster vaccine, have been unknown in patients with inflammatory diseases who are receiving immunomodulatory therapy.
28 Sep 2021
Lupus can involve multiple organ systems and shares the same, sometimes nonspecific presentation as other conditions. But a diligent internist##mdash;an “excellent generalist” in the words of one expert##mdash;can pick up on the correct diagnosis.
1 Nov 2014
A 23-year-old woman is evaluated for a 1-year history of morning stiffness and achiness of the hands as well as Raynaud phenomenon. Two months ago, she experienced a sun-induced rash on the chest and back and patches of discoloration on the hands. Following a physical exam and lab studies, what is the most appropriate initial treatment?
10 Feb 2015
Weight loss and nutritional counseling should be the first step, while opioids are always and only a last resort.
1 Jul 2016
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.
11 Apr 2017
Member leaders and staff at ACP's Center for Quality selected awardees whose work has helped physicians implement practice transformation so as to achieve the quadruple aim, including better care, better patient outcomes, better value, and the promotion of physician well-being.
24 May 2016
Transcripts of doctor-patient interactions may suggest failure on the part of physicians, but they also reflect a general failure on the part of the health care system, as drug prices and out-of-pocket spending are often difficult to determine.
12 Apr 2016
A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
28 Oct 2014