Search results for "Lupus"
MKSAP Quiz: progressive fatigue and dyspnea on exertion
A 38-year-old woman is evaluated for a 6-month history of progressive fatigue and dyspnea on exertion. Over the past 2 years she has noted episodes of hand swelling, joint pain, blue color change of her fingers with cold exposure, and difficulty swallowing. Following a physical exam and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/07/02/3.htm
2 Jul 2013
MKSAP Quiz: 4-week history of wheals and burning sensation without pruritus
A 27-year-old woman is evaluated for a 4-week history of wheals, characterized by a burning sensation without pruritus. Each individual lesion persists for 48 hours and slowly resolves, leaving a bruise. Current medications are diphenhydramine, hydroxyzine, cetirizine and oral contraceptives. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/07/16/3.htm
16 Jul 2013
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
MKSAP Quiz: severe abdominal pain of 2 days' duration
A 43-year-old man is evaluated in the hospital for severe abdominal pain of 2 days' duration. He is otherwise healthy except for the recent finding of pancytopenia. Family history is noncontributory. His only medication is a daily multivitamin.
https://immattersacp.org/weekly/archives/2014/02/25/3.htm
25 Feb 2014
Comorbid conditions associated with increased herpes zoster risk in younger patients
A range of conditions were associated with an increased risk of herpes zoster, especially immunosuppressive conditions, and the increased risk was greater in younger age groups, a study found.
https://immattersacp.org/weekly/archives/2014/05/20/5.htm
20 May 2014
It's all about the history in diagnosing fever of unknown origin
There are 4 types of fever of unknown origin, and distinguishing among them starts with the first step: Look for clues from the history and other presenting symptoms.
https://immattersacp.org/archives/2014/06/fever.htm
1 Jun 2014
Lupus patient readmission rates are high and vary considerably by hospital, region, study finds
Approximately 1 in 6 hospitalized patients with systemic lupus erythematosus (SLE) were readmitted to the hospital within 30 days, according to a new study.
https://immattersacp.org/weekly/archives/2014/08/12/5.htm
12 Aug 2014
PERSPECTIVES 4 ACP Internist Gluten-free diets have gotten a ...
Which of the following is the mostlikely diagnosis? A: Livedo reticularisB: Lyme diseaseC: Subacute cutaneous lupus erythe-. ... matosusD: Systemic lupus erythematosus. See Test Yourself, page 16, for answer.
https://immattersacp.org/archives/2014/09/acpi-201409-puzzle_t1.pdf
20 Aug 2014
MKSAP Quiz: 3-month history of fatigue, rash
A 58-year-old woman is evaluated for a 3-month history of fatigue and a nonpruritic rash on the chest and arms. The rash worsens with sun exposure. The patient reports no pleurisy, dryness of the eyes or mouth, arthritis, or Raynaud phenomenon. There is no evidence of synovitis. The appearance of the rash is shown. A physical exam and laboratory tests are normal. Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive. What is the most likely diagnosis?.
https://immattersacp.org/archives/2014/09/mksap.htm
1 Sep 2014
Lupus presentation may be an ‘imitator’
Lupus can involve multiple organ systems and shares the same, sometimes nonspecific presentation as other conditions. But a diligent internist##mdash;an “excellent generalist” in the words of one expert##mdash;can pick up on the correct diagnosis.
https://immattersacp.org/archives/2014/11/lupus.htm
1 Nov 2014