Search results for "Lupus"
MKSAP Quiz: 5-year history of recurrent gout
A 53-year-old man is evaluated for a 5-year history of recurrent gout attacks involving the base of the great toes, mid feet, and ankles. Episodes are becoming more frequent and severe. History is also significant for hypertension and stage 3 chronic kidney disease. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/12/11/3.htm
11 Dec 2018
MKSAP Quiz: 3-year history of fatigue
A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/04/23/3.htm
23 Apr 2019
MKSAP Quiz: Evaluation for left lower extremity ulcer
A 50-year-old man is evaluated for a left lower extremity ulcer. He has a 15-year history of worsening arthritis for which he has never been evaluated. He takes ibuprofen as needed. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/08/27/3.htm
27 Aug 2019
MKSAP Quiz: Follow-up on pre-employment physical exam
A 28-year-old woman has a follow-up consultation for a pre-employment physical examination. She reports feeling well, with no recent illness. Medical history is notable for gastroesophageal reflux disease. Her only medication is omeprazole. She is black. Following a physical exam and lab studies showing decreased neutrophils, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/10/22/3.htm
22 Oct 2019
MKSAP Quiz: 2-month history of increased dyspnea
A 48-year-old woman is evaluated for a 2-month history of increased dyspnea, wheezing, and nonproductive cough. She also reports intermittent pain and swelling in the wrists and knees for the past 6 months. She was diagnosed with scleritis of the left eye 1 month ago that improved with glucocorticoid drops. She also had two episodes of right pinna pain, redness, and swelling. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/01/mksap-quiz-2-month-history-of-increased-dyspnea.htm
1 Jan 2020
ACP, other groups address shortages of PPE, medications, tests during COVID-19 pandemic
The College praised the recently passed CARES Act for providing funding to increase the supply of personal protective equipment (PPE) but stressed that all possible means must be used to ensure sufficient PPE immediately for every physician, nurse, and health worker on the front lines.
https://immattersacp.org/weekly/archives/2020/03/31/1.htm
31 Mar 2020
ACP, other groups focus on effects of the pandemic
ACP praises new coverage of telephone visits and continues to push for personal protective equipment. Recent articles focus on the pandemic's effect on addiction treatment, drug access, and stroke treatment.
https://immattersacp.org/weekly/archives/2020/04/07/1.htm
7 Apr 2020
IDSA offers criteria on testing for COVID-19; new research looks at clots, treatments
The Infectious Diseases Society of America (IDSA) released guidance for COVID-19 testing among inpatients and outpatients, while studies offered further support for anticoagulation but showed no benefit from hydroxychloroquine or lopinavir-ritonavir.
https://immattersacp.org/weekly/archives/2020/05/12/1.htm
12 May 2020
MKSAP Quiz: 2-day history of painful rash
A 22-year-old man is evaluated in the emergency department for a 2-day history of painful rash on the left side of his posterior chest. Medical history is unremarkable, and he takes no medications. Following a physical exam, what is the most appropriate test to perform next?
https://immattersacp.org/archives/2020/06/mksap-quiz-2-day-history-of-painful-rash.htm
1 Jun 2020
Getting dialysis for undocumented patients
Undocumented immigrants in the U.S. with end-stage kidney disease (ESKD) number in the thousands, and new programs and policies are allowing them to tap into dialysis before their condition warrants emergency treatment.
https://immattersacp.org/archives/2021/02/getting-dialysis-for-undocumented-patients.htm
1 Feb 2021