Search results for "Chronic kidney disease"
New BP guideline seeks earlier intervention
Recategorized, lower thresholds might give physicians effective new weapons in the fight against hypertension, but some contend that it's premature to change clinical practice.
https://immattersacp.org/archives/2018/03/new-bp-guideline-seeks-earlier-intervention.htm
1 Mar 2018
MKSAP Quiz: Follow-up for chronic kidney disease
A 65-year-old man is evaluated during a follow-up visit for stage G3b/A3 chronic kidney disease due to diabetic nephropathy. He reports doing well with good baseline exercise tolerance and no shortness of breath. Medical history is also significant for type 2 diabetes mellitus and hypertension. Medications are basal bolus insulin and lisinopril, 20 mg/d. Following a physical exam, lab tests, and kidney ultrasound, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2017/10/24/3.htm
24 Oct 2017
Major bleeding, mortality risks after VTE similar on DOACs or warfarin
The risk of major bleeding and of death was similar for patients taking direct oral anticoagulants compared to those taking warfarin.
https://immattersacp.org/weekly/archives/2017/10/24/4.htm
24 Oct 2017
Assess for noncardiac complications in congenital heart disease survivors, AHA says
Physicians who care for adult patients with congenital heart disease should be mindful of the effects that the condition has on other organs, according to a scientific statement from the American Heart Association.
https://immattersacp.org/weekly/archives/2017/10/17/1.htm
17 Oct 2017
Insulin cartridge holders recalled, HCV drug approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/09/insulin-cartridge-holders-recalled-hcv-drug-approved.htm
1 Sep 2017
Recurrent C. difficile infections more than doubled between 2001 and 2012
Risk factors for recurrence include age; sex; and use of antibiotics, proton pump inhibitors, or corticosteroids. These factors could adjust treatment algorithms for high-risk patients, including earlier use of fecal transplant.
https://immattersacp.org/weekly/archives/2017/07/11/5.htm
11 Jul 2017
Benefits, harms of osteoporosis medications unclear for patients with CKD
Among several gaps in medical knowledge, there was conflicting or insufficient evidence of the effectiveness of bisphosphonates on fractures and safety in transplant recipients and patients with chronic kidney disease.
https://immattersacp.org/weekly/archives/2017/04/11/4.htm
11 Apr 2017
MKSAP Quiz: follow-up visit for gout
A 55-year-old man is evaluated during a follow-up visit for gout. Two years ago, he had been treated with allopurinol and developed a hypersensitivity reaction. Over the past several months, he has had recurrent attacks of acute, episodic swelling of the first metatarsophalangeal joints with increasing involvement of other joints, including the ankles and knees. Laboratory studies showed significant hyperuricemia. History is also significant for Crohn disease, hypertension, chronic kidney disease (estimated glomerular filtration rate of 55 mL/min/1.73 m2), and nonalcoholic fatty liver disease. Current medications are diltiazem and azathioprine, which he has been taking for the past 9 months. Which of these is a contraindication to the use of febuxostat in this patient?
https://immattersacp.org/weekly/archives/2017/01/24/3.htm
24 Jan 2017
New insulin questioned; carbon emission price proposed
Readers address insulin dosing and propose going further on climate change.
https://immattersacp.org/archives/2016/09/letters.htm
1 Sep 2016
‘Nonfunctional’ adrenal tumors may be linked to incident diabetes
Risk for incident diabetes is significantly higher in patients with nonfunctional adrenal tumors than in those without, and the term “nonfunctional” may minimize the potential contribution of adrenal hormone secretion to cardiometabolic risk, researchers said.
https://immattersacp.org/weekly/archives/2016/08/02/1.htm
2 Aug 2016