Search results for "Tuberculosis"
MKSAP Quiz: evaluation for exposure to tuberculosis
A 28-year-old man is evaluated after being informed his roommate at a homeless shelter was diagnosed with pulmonary tuberculosis. He reports no fever, cough, night sweats, or weight loss. Medical history is significant for injection drug use, most recently 2 weeks ago, although he reports no known infectious complications in the past. Following physical exams and other tests, what is the most appropriate next step in the management of this patient?
https://immattersacp.org/weekly/archives/2016/06/07/3.htm
7 Jun 2016
Joint guidelines issued for drug-susceptible pulmonary tuberculosis
A 4-drug regimen of isoniazid, rifampin, pyrazinamide, and ethambutol, followed by a continuation phase of 4 months of isoniazid and rifampin, remains the preferred initial treatment.
https://immattersacp.org/weekly/archives/2016/08/16/5.htm
16 Aug 2016
Integrating routine HIV screening into practice
Routine screening has 2 main benefits: diagnosing HIV infection before patients become symptomatic and have lost the bulk of their immune system and preventing HIV transmission.
https://immattersacp.org/archives/2016/09/hiv.htm
1 Sep 2016
MKSAP quiz: 5-day history of nodules
A 29-year-old woman is evaluated for a 5-day history of nodules over her lower extremities. She reports that she regularly visits a local spa that uses whirlpool footbaths during her pedicure procedures; she always shaves her legs with a razor before these visits. Medical history is unremarkable, and she takes no medications. Following a physical exam, punch biopsy of a lesion, and tissue cultures, what is the most likely cause of infection?
https://immattersacp.org/weekly/archives/2017/04/11/3.htm
11 Apr 2017
Managing superbugs in your community
General internists are poised to assume a key role in tackling the increasingly formidable threat of antimicrobial resistance.
https://immattersacp.org/archives/2017/05/superbugs.htm
1 May 2017
Self-administered treatment appears effective for latent tuberculosis
Self-administered therapy with monthly monitoring could be an acceptable strategy for treating latent tuberculosis in the U.S., as well as in other countries and settings when directly observed therapy is not possible.
https://immattersacp.org/weekly/archives/2017/11/07/1.htm
7 Nov 2017
MKSAP quiz: Intermittent fever, sweats, fatigue
A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks' duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis were negative. Following a physical exam, lab studies, and chest radiograph, what is the most likely cause of her clinical findings?
https://immattersacp.org/weekly/archives/2018/01/30/3.htm
30 Jan 2018
Gout drug concerns; monthly buprenorphine injection OK'd
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/02/gout-drug-concerns-monthly-buprenorphine-injection-okd.htm
1 Feb 2018
New internal medicine residency gains foothold in Nepal
Patan Hospital of Nepal, a tertiary-level referral center that treats nearly 320,000 outpatients and 20,000 inpatients each year, began an internal medicine residency program last year.
https://immattersacp.org/archives/2018/04/new-internal-medicine-residency-gains-foothold-in-nepal.htm
1 Apr 2018
INTERNAL MEDICINE MEETING Treating chronic cough involves tack-ling a ...
Sometimes the findings are unex-pected: “I found tuberculosis in one patient,”he said. ... He lateradded, “I’m not trying to save any money hereon the up-front testing.”.
https://immattersacp.org/archives/2018/07/acpi-201807-solving-mysterious-chronic-cough-cases_t1.pdf
22 Jun 2018