Search results for "Lyme disease"
Joint guidelines on Lyme disease prevention, diagnosis, treatment open for comment
Among other recommendations, the draft guidelines favor oral antibiotic therapy with doxycycline, amoxicillin, cefuroxime axetil, or phenoxymethylpenicillin over other antimicrobials for treatment of Lyme disease.
https://immattersacp.org/weekly/archives/2019/07/02/2.htm
2 Jul 2019
Tiny ticks, big myths: Lyme disease pearls
Six easy pearls can help with the growing and controversial elements of treating Lyme disease.
https://immattersacp.org/archives/2017/06/lyme.htm
1 Jun 2017
What to know about alpha-gal syndrome
Awareness about alpha-gal syndrome remains low, but the number of suspected cases of people bitten by ticks who develop this allergic reaction has risen sharply since 2010.
https://immattersacp.org/archives/2024/01/what-to-know-about-alpha-gal-syndrome.htm
1 Jan 2024
Free CME course offered on Lyme disease
The Infectious Diseases Society of America (IDSA) is offering a free online course on Lyme disease.
https://immattersacp.org/weekly/archives/2012/07/24/7.htm
24 Jul 2012
Welcome to I.M. Matters from ACP
This issue announces our new name and includes lead stories on vertigo and grateful patient fundraising.
https://immattersacp.org/archives/2024/01/welcome-to-im-matters-from-acp.htm
1 Jan 2024
MKSAP Quiz: Difficulty swallowing for 6 months
A 54-year-old man is evaluated for difficulty swallowing of 6 months' duration. He initially had occasional choking with liquids, which has progressed to dysphagia with both liquids and solids. Following a physical exam, lab tests, and MRI of the brain, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2022/03/15/3.htm
15 Mar 2022
MKSAP Quiz: Evaluation for persistent fatigue, headache, myalgia, arthralgia
A 44-year-old woman is evaluated for persistent fatigue, headache, myalgia, and arthralgia. Early localized Lyme disease was diagnosed 2 months ago after the patient returned from a camping trip in western New Jersey with the symptoms described and a skin eruption of erythema migrans. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/07/30/3.htm
30 Jul 2019
MKSAP Quiz: Evaluation for a skin eruption
A 47-year-old man is evaluated for a skin eruption. Approximately 2 weeks ago, his wife noted an erythematous macule on his back. Over the ensuing week, the site became progressively larger. He notes mild fatigue but no fevers. He recently returned from a vacation in Massachusetts, which included outdoor activities such as bike riding and walking to the beach. He reports no known tick attachment. On physical examination, temperature is 37.2##deg;C (100.0##deg;F), blood pressure is 117/68 mm Hg, pulse rate is 52/min, and respiration rate is 18/min. The skin lesion is shown. Which of the following is the most appropriate management?.
https://immattersacp.org/archives/2016/10/mksap.htm
1 Oct 2016
MKSAP Quiz: 1-year history of fatigue, headaches, sore throat
A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017
MKSAP Quiz: 12-hour history of fever
A 51-year-old man is evaluated in the emergency department for a 12-hour history of fever, chills, headache, and weakness. He works on his farm in Maine and spends a considerable part of most days outside, but he is not aware of any tick or mosquito bites. Following a physical exam and lab studies, a blood smear from this patient is most likely to show which of the following abnormalities?
https://immattersacp.org/archives/2020/11/mksap-quiz-12-hour-history-of-fever.htm
1 Nov 2020