Search results for "Pulmonary embolism"
Wells and Geneva scores evaluated for risk stratification for PE in primary care
Discriminative ability was comparable for the original Wells, modified Wells, simplified Wells, revised Geneva, and simplified revised Geneva models, but the Wells rules had lower failure rates.
https://immattersacp.org/weekly/archives/2015/09/15/1.htm
15 Sep 2015
ACP issues best practice advice on evaluating suspected PE
The goal was to provide practical, evidence-based advice for clinicians evaluating adult inpatients and outpatients in whom acute PE is suspected.
https://immattersacp.org/weekly/archives/2015/09/29/1.htm
29 Sep 2015
Weighing the options for bariatric surgery
Bariatric surgery may be an option for severely obese patients for whom lifestyle changes are not enough. Internists can set up expectations that may improve postsurgical outcomes.
https://immattersacp.org/archives/2016/01/obesity.htm
1 Jan 2016
Common palliative care practices may lack benefits
Recent research has shown that some of the things physicians thought they were doing to help patients at the end of life are actually ineffective and even potentially harmful.
https://immattersacp.org/archives/2016/01/palliative.htm
1 Jan 2016
MKSAP Quiz: evaluation for anticoagulation management
A 32-year-old woman is evaluated for anticoagulation management after an uncomplicated vaginal delivery of a healthy newborn. She was diagnosed with a bilateral pulmonary embolism at 25 weeks' gestation and was treated with therapeutic low-molecular-weight heparin (LMWH). The LMWH was discontinued at the onset of labor and was restarted 6 hours after delivery. Medical history is otherwise unremarkable, and her only medication is full-dose LMWH. Anticoagulation for 3 months is planned. The patient wishes to breastfeed her newborn. What is the most appropriate anticoagulation option for this patient?
https://immattersacp.org/weekly/archives/2016/02/23/3.htm
23 Feb 2016
ACP helps transform practices to value-based care
ACP is 1 of 10 Support and Alignment Networks that received grants from the Centers for Medicare and Medicaid Services to support physicians as they improve patients' experience of care, improve the health of populations, and reduce the per capita cost of health care through the expansion of quality improvement capacity.
https://immattersacp.org/archives/2016/03/presidents.htm
1 Mar 2016
MKSAP Quiz: 4-month history of progressive dyspnea, fatigue
A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol, spironolactone, and lactulose. Following a physical exam, lab tests, and scans, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/03/22/3.htm
22 Mar 2016
Combination treatment for COPD associated with lower rate of exacerbations versus usual care
Patients taking fluticasone furoate-vilanterol had a rate of 1.74 moderate or severe exacerbations per year versus 1.90 per year in the usual care group, an industry-funded trial has shown.
https://immattersacp.org/weekly/archives/2016/09/13/1.htm
13 Sep 2016
Anticoagulation not superior to placebo for calf DVT in low-risk patients, may increase bleeding risk
The randomized, double-blind, placebo-controlled trial examined a composite measure of extension of calf deep venous thrombosis (DVT) to proximal veins, contralateral proximal DVT, and symptomatic pulmonary embolism in a modified intention-to-treat population.
https://immattersacp.org/weekly/archives/2016/11/15/6.htm
15 Nov 2016
Anticoagulation not superior to placebo for calf DVT in low-risk patients, may increase bleeding risk
The randomized, double-blind, placebo-controlled trial examined a composite measure of extension of calf deep venous thrombosis (DVT) to proximal veins, contralateral proximal DVT, and symptomatic pulmonary embolism in a modified intention-to-treat population.
https://immattersacp.org/weekly/archives/2016/11/22/6.htm
22 Nov 2016