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Sort by: Relevance | Newest | OldestEfavirenz as part of initial HIV therapy associated with increased suicidality
Initial HIV therapy that contained the antiretroviral efavirenz was associated with increased risk for suicidal ideation, attempted suicide, and completed suicide in a recent study.
https://immattersacp.org/weekly/archives/2014/07/01/4.htm
1 Jul 2014
HIV comes of age as disease of mid-to-late life
Protease inhibitors revolutionized HIV management, morphing it from a death sentence to a chronic, manageable condition. Medical issues have since grown more complex as doctors consider how HIV interacts with aging, and how aging interacts with these sometimes toxic drugs used to control the virus.
https://immattersacp.org/archives/2011/11/HIV.htm
1 Nov 2011
Task Force issues HIV screening recommendations
All adolescents and adults age 15 to 65 should be screened for HIV infection, the U.S. Preventive Services Task Force said.
https://immattersacp.org/weekly/archives/2013/04/30/2.htm
30 Apr 2013
Large valsartan recall, new warnings for fluoroquinolones
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/09/large-valsartan-recall-new-warnings-for-fluoroquinolones.htm
1 Sep 2018
MKSAP Quiz: 3- to 4-month history of diffuse, intractable itching
A 72-year-old man is evaluated for a 3- to 4-month history of diffuse, intractable itching involving most of the body. He uses emollients regularly. He cannot identify any precipitating causes. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/01/14/3.htm
14 Jan 2014
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
Teaching the patient-centered medical home
A growing number of residency programs are training new physicians in the PCMH model, with the hopes of improving patient outcomes and attracting more interest in primary care as a career path.
https://immattersacp.org/archives/2011/11/editors.htm
1 Nov 2011
MKSAP Quiz: 12-hour history of fever, myalgia, headache, and a rash
A 20-year-old female college student is evaluated in December because of a 12-hour history of fever, myalgia, headache, and a rash. Temperature is 38.8 °C (101.8 °F), blood pressure is 90/45 mm Hg, pulse rate is 112/min, and respiration rate is 24/min. A petechial rash most prominent on the lower extremities is present. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2011/08/23/3.htm
23 Aug 2011
MKSAP Quiz: 5-week history of spots in the mouth and throat
A 33-year-old woman is evaluated for a 5-week history of whitish spots in the mouth and the back of the throat and discomfort with swallowing solid foods. This is her first episode of these symptoms. She has had no mouth pain, trouble ingesting liquids or pills, nausea, vomiting, diarrhea, fever, chills, sweats, or skin problems. She has a 3-year history of HIV infection and also has moderately severe asthma, which is now well controlled with inhaled medications that were recently prescribed. Whitish plaques are seen on the palate and posterior pharynx. What is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2013/11/19/3.htm
19 Nov 2013
MKSAP 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