Search results for "Rheumatology"
MKSAP Quiz: Follow-up for ankylosing spondylitis
A 35-year-old woman is evaluated in follow-up for a recent diagnosis of ankylosing spondylitis. Despite the use of three different NSAIDs and physical therapy, she continues to have night pain and morning stiffness/pain lasting more than 1 hour. Following a physical exam and pelvic radiograph, what is the most appropriate treatment?
https://acpinternist.org/weekly/archives/2023/08/22/3.htm
22 Aug 2023
Lobbying for residents, payments, and fixes to step therapy
Although it's not in the job description, sometimes the practice of medicine requires political advocacy, as ACP did at Leadership Day.
https://acpinternist.org/archives/2023/07/lobbying-for-residents-payments-and-fixes-to-step-therapy.htm
1 Jul 2023
Prognostic model stratifies risk for methotrexate toxicity
A prognostic risk score could help primary care physicians decide on individual monitoring strategies for methotrexate toxicity after the first six months of a prescription, according to a new modeling study.
https://acpinternist.org/weekly/archives/2023/06/06/4.htm
6 Jun 2023
Balancing benefits and harms of pain meds in older adults
Pain guidelines issued by medical societies call for nondrug therapies and exercise as primary recommendations for chronic pain.
https://acpinternist.org/archives/2023/07/balancing-benefits-and-harms-of-pain-meds-in-older-adults.htm
1 Jul 2023
MKSAP Quiz: Evaluation for risk of rheumatoid arthritis
A 36-year-old woman is evaluated during a routine wellness visit. She is asymptomatic and has no medical problems. Her mother has rheumatoid arthritis, and the patient is concerned that she might also develop the disease. Following a physical exam, what is most likely to reduce this patient's risk for developing rheumatoid arthritis?
https://acpinternist.org/weekly/archives/2023/05/23/3.htm
23 May 2023
MKSAP Quiz: 8-week history of a spreading rash
A 63-year-old man is evaluated for an 8-week history of a spreading rash on the feet and legs, fatigue, and arthralgia. Following a physical exam and lab studies, what is the most likely diagnosis?
https://acpinternist.org/archives/2023/05/mksap-quiz-8-week-history-of-a-spreading-rash.htm
1 May 2023
MKSAP Quiz: 1-year history of lower extremity edema
This week's quiz asks readers to determine the most likely diagnosis for a 60-year-old man with a 30-year history of poorly controlled ankylosing spondylitis and intermittent uveitis who is evaluated for a 1-year history of lower extremity edema.
https://acpinternist.org/weekly/archives/2023/02/14/3.htm
14 Feb 2023
Cancer, cardiovascular risks assessed at rheumatology meeting
A summary of approvals, recalls and a record number of deaths and serious injuries reported.
https://acpinternist.org/archives/2009/01/rheum.htm
1 Jan 2009
MKSAP Quiz: 2-week history of fatigue, poor appetite, arthralgia, and rash
A 19-year-old woman is evaluated for a 2-week history of fatigue, poor appetite, arthralgia of the hands and knees, and a rash, all of which appeared 1 day after a beach trip. After physical exam, lab studies, and kidney ultrasound, what is the most appropriate diagnostic test to perform next?
https://acpinternist.org/weekly/archives/2023/01/17/3.htm
17 Jan 2023
Relationships between primary care physicians, specialists may affect patient satisfaction
Patients gave higher ratings after a referral if the specialist trained with their primary care physician, a quasi-experimental study found.
https://acpinternist.org/weekly/archives/2023/01/10/4.htm
10 Jan 2023