Search results for "Hypertension"
MKSAP Quiz: Right-upper-quadrant abdominal discomfort
A 36-year-old woman is evaluated for a 3-day history of constant right-upper-quadrant abdominal discomfort and abdominal distention. She has no significant medical history. Following a physical exam and lab tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2021/10/19/3.htm
19 Oct 2021
Adding an antihypertensive to existing regimens associated with greater BP reduction than maximizing dose, with some caveats in adherence
A retrospective study of older veterans with hypertension found that while adding a medication reduced systolic blood pressure by an extra point, patients who received a dose increase instead of a new drug were more likely to maintain the regimen.
https://immattersacp.org/weekly/archives/2021/10/05/4.htm
5 Oct 2021
MKSAP Quiz: A 3-year history of decline in cognition
A 60-year-old man is evaluated for a 3-year history of gradual, progressive decline in his cognition, behavior, and motor skills. Following a physical exam, MRI, and neuropsychological testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/28/3.htm
28 Sep 2021
MKSAP Quiz: Evaluation for newly developed ascites
A 50-year-old man is evaluated for newly developed ascites. He has cirrhosis due to nonalcoholic steatohepatitis. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/31/3.htm
31 Aug 2021
MKSAP Quiz: Difficult-to-control hypertension
A 62-year-old man is evaluated during a follow-up visit for difficult-to-control hypertension. He also has chronic kidney disease and hyperlipidemia. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/24/3.htm
24 Aug 2021
Patients with atrial fibrillation likely to underestimate bleeding risks of anticoagulants
Women were significantly less likely than men to underestimate their bleeding risk, and a history of bleeding was associated with a threefold increased likelihood of inaccurate perception of bleeding risk, according to a study of atrial fibrillation patients.
https://immattersacp.org/weekly/archives/2021/08/24/2.htm
24 Aug 2021
ARBs appear to have fewer side effects, same effectiveness compared to ACE inhibitors
Researchers used large international databases to compare outcomes among patients who initiated hypertension therapy with angiotensin-converting enzyme (ACE) inhibitors versus angiotensin receptor blockers (ARBs) and concluded that ARBs should be preferred.
https://immattersacp.org/weekly/archives/2021/08/03/2.htm
3 Aug 2021
Scientific statement addresses primary care's role in poststroke care
Effective communication by primary care clinicians can improve adherence to necessary interventions after stroke, boost patient motivation, and reduce barriers to care, the American Heart Association and American Stroke Association advised.
https://immattersacp.org/weekly/archives/2021/07/27/2.htm
27 Jul 2021
MKSAP Quiz: Intractable pruritus during pregnancy
A 22-year-old woman is evaluated for intractable pruritus that keeps her awake at night. She is in her 25th week of pregnancy. Following a physical exam, lab studies, tests for hepatitis, and an ultrasound, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/07/27/3.htm
27 Jul 2021
MKSAP Quiz: 1-year history of weight gain, easy bruising
A 52-year-old woman is evaluated for a 1-year history of a 6.8-kg (15-lb) weight gain, easy bruising, hypertension, and worsening diabetes control. Lab studies reveal hypercortisolism. What is the most likely cause?
https://immattersacp.org/weekly/archives/2021/07/20/3.htm
20 Jul 2021