Search results for "Rheumatoid arthritis"
MKSAP Quiz: 4-day history of fever, malaise
A 24-year-old man is admitted to the hospital with a 4-day history of fever, malaise, and arthralgia of the elbows, wrists, and knees. Two days ago, he developed progressive pain and swelling of the right knee. He also has a rash on his arm. Following a physical exam and blood cultures, what is the most appropriate diagnostic test to perform?.
https://immattersacp.org/archives/2015/04/mksap.htm
1 Apr 2015
Seeking clarity for opioid prescribing
Doctors continue to be frustrated by their patients' chronic pain problems, due to a lack of evidence on opioids' long-term effectiveness and strong evidence of potential harms.
https://immattersacp.org/archives/2015/04/opioids.htm
1 Apr 2015
MKSAP Quiz: pain on the radial aspect of the right wrist
A 28-year-old man is evaluated for pain on the radial aspect of the right wrist that occurs with use of the thumb. The pain has been present for 2 weeks. He has never had this pain before and has not had any trauma. He works as a computer programmer and plays video games for 3 to 4 hours each night when he gets home from work. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/03/24/3.htm
24 Mar 2015
Guidelines define an adjunctive role for weight loss and other prescription medications in obesity management
Knowledgeable prescribing of weight loss medications, and choosing other necessary prescription medications with favorable weight profiles, can aid in the prevention and management of obesity and can be useful for patients who have been unsuccessful with diet and exercise alone, according to a clinical practice guideline.
https://immattersacp.org/weekly/archives/2015/01/27/1.htm
27 Jan 2015
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
MKSAP Quiz: preoperative evaluation for knee replacement
A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/10/28/3.htm
28 Oct 2014
Neurologists suggest steps for prescribing opioids for chronic pain
The American Academy of Neurology issued a position paper outlining steps that can help physicians who prescribe chronic opioid analgesic therapy (COAT) for chronic noncancer pain (CNCP).
https://immattersacp.org/weekly/archives/2014/10/07/1.htm
7 Oct 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
Hypertension may be underdiagnosed in rheumatoid arthritis patients
Patients with rheumatoid arthritis are nearly 30% less likely to be diagnosed with hypertension than those without the disease, a study found.
https://immattersacp.org/weekly/archives/2014/05/06/5.htm
6 May 2014
Psoriasis symptoms can be tough to address
A recent survey showed that many psoriasis patients are not satisfied with their care, reporting inadequate relief from such symptoms as itching and scaling. Learn more about clues to diagnosis and suggestions on treating and managing symptoms of both mild and more severe disease.
https://immattersacp.org/archives/2014/02/psoriasis.htm
1 Feb 2014