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Sort by: Relevance | Newest | OldestMKSAP Quiz: 1-year history of daily afternoon fatigue
A 51-year-old woman with a 5-year history of multiple sclerosis is evaluated for a 1-year history of daily afternoon fatigue that necessitates frequent naps and impairs her concentration at work. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/05/21/3.htm
21 May 2019
Long-term view for chronic pancreatitis
Unlike acute cases of pancreatitis, chronic cases present with varying degrees and types of pain, and without other clinical indicators such as calcification or damage to pancreatic ducts. It's best to refer to a gastroenterologist early to clarify the diagnosis, so the internist can better manage the patient.
https://immattersacp.org/archives/2014/01/pancreatitis.htm
1 Jan 2014
MKSAP quiz: Follow-up for multiple myeloma
A 62-year-old man diagnosed with multiple myeloma 3 weeks ago is found to have multiple lytic lesions in the spine and pelvis on follow-up examination. His vertebral height was maintained. He is receiving bortezomib, lenalidomide, and dexamethasone for myeloma. After physical examination and laboratory studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/04/30/3.htm
30 Apr 2019
Guideline recommends pharmacologic treatment of osteoporosis in postmenopausal women at high fracture risk
Bisphosphonates are recommended for initial treatment, although ibandronate is not recommended for reducing nonvertebral or hip fracture risk, the clinical practice guideline from the Endocrine Society stated.
https://immattersacp.org/weekly/archives/2019/04/02/4.htm
2 Apr 2019
Expert lays out controversies for cardio care
February is National Heart Disease Awareness Month, and the field is wide open to controversies seemingly without resolution when it comes to invasive versus therapeutic regimens.
https://immattersacp.org/archives/2010/02/heart.htm
1 Feb 2010
Pulmonary illnesses linked to e-cigarette products
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/11/pulmonary-illnesses-linked-to-e-cigarette-products.htm
1 Nov 2019
ACP strongly recommends generic bisphosphonates, denosumab to prevent fractures in women with osteoporosis
The guideline focuses on the comparative benefits and risks of short- and long-term drug treatments for low bone density or osteoporosis, including prescriptions, calcium, vitamin D, and estrogen.
https://immattersacp.org/weekly/archives/2017/05/09/1.htm
9 May 2017
PPI's benefits can outweigh their possible risks
The key to proper use of proton-pump inhibitors is monitoring patients closely to determine if they are benefitting from long-term therapy, or could potentially discontinue or reduce their dose.
https://immattersacp.org/archives/2012/10/PPIs.htm
1 Oct 2012
MKSAP Quiz: Follow-up visit for systemic lupus erythematosus
A 30-year-old woman is evaluated during a follow-up visit for systemic lupus erythematosus. She was diagnosed 3 months ago after presenting with pericarditis and arthritis. She was initially treated with prednisone, 40 mg/d, with improvement of her presenting symptoms. The prednisone has been tapered over 3 months to her current dose of 10 mg/d with no recurrence. Following a physical and cardiac exam, what is the most appropriate next step in treating this patient?
https://immattersacp.org/weekly/archives/2018/03/06/3.htm
6 Mar 2018
Strength, balance training halves fall injuries in older women with previous falls
Strength and balance training exercises reduced by more than half the rate of injuries from falls in home-dwelling older women, while neither exercise nor vitamin D affected the rate of falls, a study found.
https://immattersacp.org/weekly/archives/2015/03/31/2.htm
31 Mar 2015