Search results for "Hypertension"
MKSAP Quiz: Prevent cognitive impairment
A 60-year-old woman comes to the office to discuss the best strategy to prevent cognitive impairment. After a physical exam and cognitive screening testing, what is the most effective preventive measure?
https://immattersacp.org/weekly/archives/2021/11/16/3.htm
16 Nov 2021
Inappropriate medications prescribed in some Medicare patients with CKD, study finds
Over a third of patients with chronic kidney disease (CKD) enrolled in a Medicare plan's Medication Therapy Management program in 2018 received a prescription for at least one potentially inappropriate medication.
https://immattersacp.org/weekly/archives/2021/02/02/5.htm
2 Feb 2021
MKSAP Quiz: Managing a congenital heart defect in an adult
A 24-year-old woman diagnosed with a ventricular septal defect at age 7 months undergoes routine examination. The S1 and S2 are masked by a loud holosystolic murmur noted at the left lower sternal border. A transthoracic echocardiogram demonstrates a membranous ventricular septal defect with a small left-to-right shunt. After review of additional results from cardiac testing, what is the appropriate management?
https://immattersacp.org/weekly/archives/2020/11/24/3.htm
24 Nov 2020
MKSAP Quiz: Abdominal aortic aneurysm found during routine examination
A 69-year-old man is evaluated during a routine examination. He is asymptomatic. Medical history is significant for hypertension. On physical examination, vital signs are normal. A bruit is heard over the abdomen, and a pulsatile mass is present in the epigastrium. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/03/31/3.htm
31 Mar 2020
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
MKSAP Quiz: 1-month history of diminished concentration
A 57-year-old woman is hospitalized with a 1-month history of diminished concentration, memory, and judgment, with recent mental status fluctuations and gait disorder. Medical history is remarkable for hypertension. After a physical exam, lab studies, and brain MRI, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/05/12/3.htm
12 May 2020
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
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
MKSAP quiz: Evaluation during a routine examination
A 59-year-old man is evaluated during a routine examination. He feels well and has no symptoms. Medical history is significant for hypertension. On physical examination, the patient is afebrile, blood pressure is 122/74 mm Hg, and pulse rate is 76/min. Cardiac examination is unremarkable. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/12/17/3.htm
17 Dec 2019
MKSAP Quiz: 6 months of exertional dyspnea
A 46-year-old man is evaluated for 6 months of exertional dyspnea, fatigue, and ankle edema. Recently he experienced near-syncope walking up two flights of stairs. He has no other medical problems and takes no medications. Following a physical exam, transthoracic echocardiogram, and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/09/3.htm
9 Jun 2020