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Sort by: Relevance | Newest | OldestMKSAP Quiz: persistent right-sided facial weakness
A 53-year-old man is evaluated for persistent right-sided facial weakness. Three months ago, he first noticed “droopiness” of the right side of his lower face, difficulty closing the right eye and wrinkling the forehead, increased sensitivity to loud noises, and occasional slurred speech. Bell palsy was diagnosed, and he began a 10-day course of prednisone. He has noted only limited improvement, with continued facial drooping and mildly dysarthric speech; he now uses an eye patch over his right eye at night. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/12/15/3.htm
15 Dec 2015
Patients more likely to accept ‘opt-out’ HIV screening in ED than other testing offers, study finds
Opt-out consent appeared to be the best of the 3 approaches in terms of overall acceptance, even in patients who were most at-risk, supporting the use of this kind of consent even in settings that use targeted screening, according to an editorial.
https://immattersacp.org/weekly/archives/2016/01/26/5.htm
26 Jan 2016
MKSAP Quiz: 4-month history of progressive dyspnea, fatigue
A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol, spironolactone, and lactulose. Following a physical exam, lab tests, and scans, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/03/22/3.htm
22 Mar 2016
MKSAP Quiz: 2-week history of a rash on face and midchest
A 32-year-old man is evaluated for a 2-week history of a rash on his face and midchest. He describes the rash as consisting of small, reddish “lumps” that are intensely itchy; they develop and begin to resolve with development of new lesions. He otherwise feels well. Medical history is significant for a recent diagnosis of HIV infection. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/04/12/3.htm
12 Apr 2016
Integrating routine HIV screening into practice
Routine screening has 2 main benefits: diagnosing HIV infection before patients become symptomatic and have lost the bulk of their immune system and preventing HIV transmission.
https://immattersacp.org/archives/2016/09/hiv.htm
1 Sep 2016
HIV and chronic HBV/HCV co-infection may increase non-Hodgkin's lymphoma risk
Co-infected patients with poor immune status or restoration are at high risk for non-Hodgkin's lymphoma and death and deserve high priority for access to well-tolerated, interferon-free, direct-acting antiviral treatment programs, study authors noted.
https://immattersacp.org/weekly/archives/2016/10/18/2.htm
18 Oct 2016
Adult immunization schedule released for 2017
The Advisory Committee on Immunization Practices has released its 2017 Recommended Immunization Schedule for adults, with changes to influenza, human papillomavirus, hepatitis B, and meningococcal vaccinations.
https://immattersacp.org/weekly/archives/2017/02/07/4.htm
7 Feb 2017
MKSAP quiz: 2-week history of rash on face, midchest
This week's quiz asks readers to determine the most likely diagnosis for a 32-year-old man evaluated for a 2-week history of a rash on his face and midchest consisting of small, reddish, intensely itchy “lumps.”
https://immattersacp.org/weekly/archives/2017/08/29/4.htm
29 Aug 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
MKSAP Quiz: Follow-up after HIV testing
A 25-year-old man is evaluated in follow-up after HIV testing. He states he has sex with other men and usually uses condoms. He had a negative HIV test result 1 year ago. He feels well today but reports having a flulike illness last week with mild fever, headache, myalgias, and fatigue; these symptoms have resolved. Following a physical exam and immunoassays, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/10/17/3.htm
17 Oct 2017