Search results for "Diagnosis"
MKSAP Quiz: Follow-up after polysomnography
A 42-year-old man is evaluated for follow-up after a diagnosis of moderate obstructive sleep apnea 6 weeks ago. His daytime alertness has improved with continuous positive airway pressure, but the apparatus is cumbersome to transport on his frequent business trips. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/08/15/3.htm
15 Aug 2023
MKSAP Quiz: Evaluation for daytime sleepiness
A 72-year-old man is evaluated for daytime sleepiness. His wife notes that he snores. He sleeps 8 hours each night. On most days of the week, he feels sleepy and will nap for 45 minutes. Following a physical exam and review of a previous procedure, what is the most appropriate test?
https://immattersacp.org/weekly/archives/2023/08/08/3.htm
8 Aug 2023
Aortic stenosis risk elevated in patients with rheumatoid arthritis, study finds
Future studies are needed to confirm whether aortic stenosis may be an overlooked cardiovascular disease complication of rheumatoid arthritis, the authors of a cohort study said.
https://immattersacp.org/weekly/archives/2023/08/08/4.htm
8 Aug 2023
MKSAP Quiz: Management of metastatic cancer
A 68-year-old man is evaluated for early satiety and right upper quadrant discomfort. CT scan of the chest, abdomen, and pelvis shows hepatomegaly with multiple metastatic lesions and abdominal carcinomatosis with a small amount of ascites. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/08/01/3.htm
1 Aug 2023
Phase 3 trial shows efficacy of donanemab for Alzheimer disease
In an industry-funded, placebo-controlled trial of patients with early symptomatic Alzheimer disease and amyloid and tau pathology, patients on the investigational drug donanemab showed significant slowing in worsening on the integrated Alzheimer Disease Rating Scale score.
https://immattersacp.org/weekly/archives/2023/07/25/2.htm
25 Jul 2023
About one-third of Americans with HCV had evidence of viral clearance in past decade
The highest proportion of hepatitis C virus (HCV) cure or clearance among all age groups and payers was 49% among commercially insured patients ages 60 years and older, a study found.
https://immattersacp.org/weekly/archives/2023/07/11/4.htm
11 Jul 2023
Acute kidney injury not associated with worsening of chronic kidney disease
Once researchers accounted for patient characteristics, such as prehospitalization estimated glomerular filtration rate (eGFR) slope and level of proteinuria, an episode of acute kidney injury in the hospital did not predict subsequent decline in eGFR.
https://immattersacp.org/weekly/archives/2023/07/11/1.htm
11 Jul 2023
Manage symptoms of menopause
As a clinical diagnosis with several effective treatments, genitourinary syndrome of menopause falls within the internal medicine physician's broad domain.
https://immattersacp.org/archives/2023/07/manage-symptoms-of-menopause.htm
1 Jul 2023
Be on alert for blood cancer precursors
Joseph R. Mikhael, MD, FACP, reviewed practical approaches to two premalignant conditions, monoclonal gammopathy of undetermined significance (MGUS) and monoclonal B-cell lymphocytosis (MBL).
https://immattersacp.org/archives/2023/07/be-on-alert-for-blood-cancer-precursors.htm
1 Jul 2023
Useful physical exam skills for inpatient assessment
This month's expert discusses measuring vital signs, orthostatic hypertension, and the cardiac exam in the context of inpatient care.
https://immattersacp.org/archives/2023/07/useful-physical-exam-skills-for-inpatient-assessment.htm
1 Jul 2023