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MKSAP Quiz: Evaluation for primary hyperparathyroidism

A 67-year-old man is evaluated for a recent diagnosis of primary hyperparathyroidism after an elevated serum calcium level was incidentally detected on laboratory testing. Medical history is significant only for hypertension, and his only medication is ramipril. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2017/02/14/3.htm
14 Feb 2017

Short-term oral corticosteroid use common, but may pose risks

Researchers conducted a retrospective cohort study and self-controlled case series to determine the frequency of prescriptions for less than 30 days of oral corticosteroids and any association with adverse events.
https://immattersacp.org/weekly/archives/2017/04/18/4.htm
18 Apr 2017

Intra-articular steroid injections not warranted for knee osteoarthritis, study suggests

Cartilage volume loss was significantly greater in the triamcinolone group than in the placebo group, and there was no significant difference in pain between groups.
https://immattersacp.org/weekly/archives/2017/05/23/4.htm
23 May 2017

Relax, kick off your shoes, and examine common foot disorders

To diagnose foot pain, start with its location, hindfoot, midfoot, or forefoot, according to one physician who treats military members and other high-performance athletes.
https://immattersacp.org/archives/2017/06/feet.htm
1 Jun 2017

Vote for your favorite entry

ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.
https://immattersacp.org/weekly/archives/2017/08/29/7.htm
29 Aug 2017

And the winner is …

ACP Internist Weekly has tallied the voting from its latest cartoon contest, where readers are invited to match wits against their peers to provide the most original and amusing caption.
https://immattersacp.org/weekly/archives/2017/09/12/7.htm
12 Sep 2017

Integrative medicine makes gains in back pain

An ACP clinical practice guideline officially recommended noninvasive and nonpharmacologic treatments for patients with acute low back pain who are not at risk for serious underlying conditions.
https://immattersacp.org/archives/2017/10/integrative-medicine-makes-gains-in-back-pain.htm
1 Oct 2017

Managing ENT problems in primary care

The most common ear, nose, and throat conditions of sinusitis, hearing loss, vertigo, and tinnitus can be evaluated and treated in the primary care office, but the internist must take care to work through the wide range of symptoms.
https://immattersacp.org/archives/2017/11/managing-ent-problems-in-primary-care.htm
1 Nov 2017

Headaches that should flag further attention

Every patient with a headache needs to have secondary causes ruled out, and the acronym SNOOP4 is easy to adopt and use.
https://immattersacp.org/archives/2018/01/headaches-that-should-flag-further-attention.htm
1 Jan 2018

Diabetes remission through diet may be doable, with support

Dietary interventions may be able to send type 2 diabetes into remission, and intensive lifestyle interventions with some help from modern technology means more patients may now have the support they need to accomplish this.
https://immattersacp.org/archives/2018/05/diabetes-remission-through-diet-may-be-doable-with-support.htm
1 May 2018

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