Search results for "Lupus"
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: 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: 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
MKSAP Quiz: Dark-colored urine for 2 days
A 25-year-old man is evaluated for dark-colored urine for 2 days, swelling of the face and hands for 1 day, and severe headaches this morning. He reports having an upper respiratory tract infection 1 week ago with fever, sore throat, and swollen glands, but had otherwise felt well. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/05/15/3.htm
15 May 2018
MKSAP Quiz: New rash on legs
A 32-year-old woman is evaluated for a new rash on her legs. She was diagnosed with pyelonephritis 4 days ago and was started on a 7-day regimen of trimethoprim-sulfamethoxazole based on urine culture and sensitivity data; her urinary symptoms have improved. Medical history includes Hashimoto thyroiditis treated with levothyroxine; her dose was increased 4 weeks ago based on thyroid function studies. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/06/mksap-quiz-new-rash-on-legs.htm
1 Jun 2018
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
Letters to the Editor
PSA tests, fibromyalgia and reconsidering clinical impressions are discussed and debated by ACP members.
https://immattersacp.org/archives/2009/05/letters.htm
1 May 2009
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
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