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MKSAP Quiz: Evaluation after a fall and surgery

A 72-year-old man is evaluated following surgical fixation of a right distal radius fracture after a fall. A dual-energy x-ray absorptiometry scan performed 2 years ago showed low bone mineral density. Alendronate weekly was initiated after the scan, and he has been adherent to therapy. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/04/30/3.htm
30 Apr 2024

Calcium, vitamin D may affect long-term health in postmenopausal women

A post hoc analysis of data from the Women's Health Initiative found that those who took calcium and vitamin D supplements had a lower risk for death from cancer and a higher risk for death from cardiovascular disease.
https://immattersacp.org/weekly/archives/2024/03/12/1.htm
12 Mar 2024

MKSAP Quiz: Follow-up of hypoparathyroidism

A 57-year-old man is evaluated during routine follow-up of hypoparathyroidism. He underwent resection of locally advanced squamous cell carcinoma of the tongue base and received adjuvant radiation therapy. Hypoparathyroidism developed after treatment. Serum calcium, magnesium, and urine calcium excretion are measured. What measurement should also be obtained for management of this patient's hypoparathyroidism?
https://immattersacp.org/weekly/archives/2023/11/07/3.htm
7 Nov 2023

Cardiovascular effects of vitamin D supplementation still uncertain, trial finds

Older adults who were randomized to vitamin D supplementation had a slightly lower rate of cardiovascular events, particularly myocardial infarction, but the overall difference from placebo was not significant, an Australian trial found.
https://immattersacp.org/weekly/archives/2023/07/04/4.htm
4 Jul 2023

Be on alert for blood cancer precursors

Joseph R. Mikhael, MD, FACP, reviewed practical approaches to two premalignant conditions, monoclonal gammopathy of undetermined significance (MGUS) and monoclonal B-cell lymphocytosis (MBL).
https://immattersacp.org/archives/2023/07/be-on-alert-for-blood-cancer-precursors.htm
1 Jul 2023

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2023/06/latest-updates-on-acps-priorities-initiatives.htm
1 Jun 2023

Intervention successful in decreasing routine vitamin D testing

In a pre-post study, a decision support tool that prompted clinicians about appropriate testing criteria and included a best practice advisory was associated with reductions of 44% and 46% in inpatient and outpatient orders and of 61% and 48% in repeat testing, respectively.
https://immattersacp.org/weekly/archives/2023/05/09/2.htm
9 May 2023

Closing the gap on osteoporosis

A new clinical guideline from ACP focuses on pharmacologic treatment of primary osteoporosis or low bone mass to prevent fractures in adults.
https://immattersacp.org/archives/2023/05/closing-the-gap-on-osteoporosis.htm
1 May 2023

MKSAP Quiz: Evaluation during annual follow-up visit

A 33-year-old woman is evaluated during her annual follow-up visit. She has a 2-year history of left-sided ulcerative colitis. All immunizations are up to date, and depression and anxiety screening results are negative. What is the most appropriate health maintenance screening test to perform?
https://immattersacp.org/weekly/archives/2023/03/07/3.htm
7 Mar 2023

New studies analyze risk factors, treatments for afib

One study found that early rhythm control was better than rate control for low-risk patients, another found that age at menarche and menopause was associated with afib risk, and another indicated that women's lower risk for afib is due to their smaller body size compared with men.
https://immattersacp.org/weekly/archives/2022/09/06/1.htm
6 Sep 2022

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