Search results for "Nephrology"
MKSAP Quiz: Impaired gait and balance
A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough attention before tripping. In the past 6 months, he has had occasional problems recalling details of recent conversations and events, completing tasks around the house in a timely manner, and organizing and balancing his checkbook despite having been an accountant before retiring. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?
https://immattersacp.org/archives/2017/02/mksap.htm
1 Feb 2017
MKSAP Quiz: Episode of blood in urine
A 37-year-old woman is evaluated for an episode of blood in her urine. She notes the passage of red-colored urine that resolved spontaneously and was not associated with her menstrual cycle. She reports having had several similar episodes in the past. She has no other symptoms such as abdominal pain or dysuria. Medical history is otherwise unremarkable, and she takes no medications. Following a physical exam and lab studies, what is the most appropriate next step in the evaluation of this patient?.
https://immattersacp.org/archives/2016/11/mksap.htm
1 Nov 2016
MKSAP Quiz: evaluation for acute kidney injury
A 57-year-old man is evaluated for a diagnosis of acute kidney injury. He was diagnosed with gastroesophageal reflux disease 3 weeks ago and was prescribed omeprazole. Several days ago he noticed lower extremity swelling and decreased frequency of urination. Laboratory evaluation showed a serum creatinine level of 2.2 mg/dL (194.5 µmol/L). Medical history is otherwise unremarkable. Following a physical exam and discontinuing omeprazole, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/09/13/3.htm
13 Sep 2016
Doctors with disability reflect on challenges
Physicians with disabilities who applied to and eventually completed medical school reflect on the progress and accomplishments offered by the Americans with Disabilities Act during the past 30 years.
https://immattersacp.org/archives/2020/02/doctors-with-disability-reflect-on-challenges.htm
1 Feb 2020
MKSAP Quiz: fatigue, anorexia, polyuria, and nocturia
A 54-year-old woman is evaluated for fatigue, anorexia, polyuria, and nocturia of several weeks' duration. She had otherwise felt well until the onset of her current symptoms. Medical history is significant for autoimmune pancreatitis diagnosed 1 year ago, treated with a prednisone taper that was completed 8 months ago with resolution of her symptoms. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/06/14/3.htm
14 Jun 2016
Weight loss, MOC featured in meeting coverage
This issue covers the wrap-up of news from Internal Medicine Meeting 2017.
https://immattersacp.org/archives/2017/06/editors.htm
1 Jun 2017
MKSAP Quiz: Follow-up visit for chronic hypertension
A 44-year-old woman is evaluated during a follow-up visit for chronic hypertension. Over the past month, her average blood pressure measured with home blood pressure monitoring was 150/90 mm Hg. Following a physical exam and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/10/11/3.htm
11 Oct 2022
MKSAP Quiz: Evaluation 4 months after a stroke
A 77-year-old woman is evaluated 4 months following a left middle cerebral artery ischemic stroke. The severity of her stroke required prolonged initial hospitalization and a 3-month stay in a rehabilitation center before returning home. Residual deficits include dense right-sided hemiparesis and dysphagia requiring oral feeding with thickened liquids. Following a physical exam and lab studies, what is the most likely cause of this patient's decreased serum creatinine level?
https://immattersacp.org/weekly/archives/2016/03/08/3.htm
8 Mar 2016
Examination of statin use in relation to guidelines reveals underuse in CKD patients
Differing statin guidelines are fairly concordant on use of the drugs in adults with chronic kidney disease (CKD), a study found.
https://immattersacp.org/weekly/archives/2014/11/25/5.htm
25 Nov 2014
Cystatin C beats creatinine at predicting complications of kidney disease
Depression quality improvement program seeks participantsHelp choose the best name for ACP's advocacy program
https://immattersacp.org/weekly/archives/2010/12/21/6.htm
21 Dec 2010