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MKSAP quiz: Rash on the back of elbows and knees

A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A similar rash has occurred in the past, with her first episode as a young adult.A 50-year-old woman is evaluated for a rash on the back of her elbows and knees. A similar rash has occurred in the past, with her first episode as a young adult.
https://immattersacp.org/archives/2009/07/mksap.htm
1 Jul 2009

ACR guideline recommends customized approach for prevention of glucocorticoid-induced osteoporosis

Recommendations include treating only with calcium and vitamin D in adults at low fracture risk, and adding an additional osteoporosis medication (oral bisphosphonate preferred) in adults at moderate to high fracture risk.
https://immattersacp.org/weekly/archives/2017/06/20/2.htm
20 Jun 2017

Array of symptoms can point to celiac

Celiac incidence has risen since the 1950s to today, so alert internists listen to the symptoms, get to the basis, and make accurate attributions to make the right diagnosis. A constellation of symptoms can point to a common underlying condition.
https://immattersacp.org/archives/2010/04/celiac.htm
1 Apr 2010

MKSAP Quiz: Multiple sclerosis in the setting of pregnancy

A 29-year-old woman is evaluated during a routine follow-up examination of multiple sclerosis, which was diagnosed 3 years ago. The patient says she wishes to discontinue her oral contraceptive and attempt to become pregnant. She has no other personal or family medical history of note. Medications are fingolimod, vitamin D, and an oral contraceptive. Besides discontinuing the oral contraceptive, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/02/13/3.htm
13 Feb 2018

Gathering of medical women focuses on female health needs

Women's health differs from men's, both generally and in a number of specific conditions, including liver disease, kidney disease, and digestive and eating disorders, and physicians should take these differences into account in their daily practice.
https://immattersacp.org/archives/2018/05/gathering-of-medical-women-focuses-on-female-health-needs.htm
1 May 2018

Little evidence supports nutritional supplements for protection against cardiovascular disease, death

A large review found some evidence of benefit from reduced salt intake and polyunsaturated fatty acid consumption, but most of the studied vitamins, supplements, and dietary strategies did not have evidence support.
https://immattersacp.org/weekly/archives/2019/07/09/1.htm
9 Jul 2019

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

Gastroenterologists face consequences of obesity epidemic

Obesity seemed to be the topic on everyone's lips at the annual scientific meeting of the American College of Gastroenterology in October.
https://immattersacp.org/archives/2008/01/obesity.htm
1 Jan 2008

MKSAP Quiz: Follow-up treatment of psoriasis

A 60-year-old woman is evaluated for follow-up treatment of long-standing psoriasis. Medical history is significant for hypertension and hypercholesterolemia. Family history includes multiple family members with psoriasis. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/06/25/3.htm
25 Jun 2019

Azithromycin gets warning, incretin mimetics investigated

This regulatory update covers a new warning on azithromycin about abnormal changes in the electrical activity of the heart, and a possible increased risk of pancreatitis and precancerous findings from incretin mimetic drugs.
https://immattersacp.org/archives/2013/05/fda.htm
1 May 2013

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