Search results for "Rheumatology"
MKSAP Quiz: progressive fatigue and dyspnea on exertion
A 38-year-old woman is evaluated for a 6-month history of progressive fatigue and dyspnea on exertion. Over the past 2 years she has noted episodes of hand swelling, joint pain, blue color change of her fingers with cold exposure, and difficulty swallowing. Following a physical exam and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/07/02/3.htm
2 Jul 2013
Bias, metacognition, and their roles in our critical thinking
Medical heuristics are strategies that lead in quicker fashion to decisions or conclusions, but they can also lead us to using only part of the information that a clinician might need.
https://immattersacp.org/archives/2020/02/bias-metacognition-and-their-roles-in-our-critical-thinking.htm
1 Feb 2020
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians placed in nomination candidates for officers and Regents.
https://immattersacp.org/archives/2014/11/regents.htm
1 Nov 2014
MKSAP Quiz: 3-month history of left knee pain
A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. Following a physical exam, lab results and a radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2013/12/17/3.htm
17 Dec 2013
MKSAP Quiz: 3-month history of hand pain
A 46-year-old woman is evaluated for a 3-month history of pain and swelling of the hands, dyspnea, and wheezing. She has no other pertinent personal or family medical history. She takes naproxen as needed for pain relief. Following a physical exam and laboratory studies, what is the most appropriate diagnostic test to perform next in this patient?.
https://immattersacp.org/archives/2013/09/mksap.htm
1 Sep 2013
MKSAP Quiz: 3-month history of left knee pain
A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. The patient has hypertension, hypercholesterolemia, and chronic stable angina. Medications are lisinopril, metoprolol, simvastatin, low-dose aspirin, and nitroglycerin as needed. Following a physical exam, lab results and radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/04/01/3.htm
1 Apr 2014
What's new in ACP Hospitalist
What's new in ACP Hospitalist and other College publications, including a review of the impact of ICU glucose control for critically ill patients and the highly anticipated launch of MKSAP 15.
https://immattersacp.org/archives/2009/07/highlights.htm
1 Jul 2009
Battling the hydra of the medical-industrial complex
ACP leadership has developed a new vision for the future of American health care in order to achieve universal coverage and improve access, reduce costs, improve the dysfunctional payment system, and reduce administrative burdens and excessive complexity.
https://immattersacp.org/archives/2020/04/battling-the-hydra-of-the-medical-industrial-complex.htm
1 Apr 2020
MKSAP Quiz: routine examination for risk of rheumatoid arthritis
A 29-year-old woman is evaluated during a routine examination. She seeks advice in reducing her personal risk of developing rheumatoid arthritis, because her mother was recently diagnosed with the disorder. What lifestyle modifications are most likely to reduce the patient's risk of developing rheumatoid arthritis?
https://immattersacp.org/weekly/archives/2015/06/16/3.htm
16 Jun 2015
Methotrexate may decrease rates of large-joint replacement in RA patients taking TNF inhibitors
Patients with rheumatoid arthritis (RA) treated with tumor necrosis factor (TNF) inhibitors may have lower rates of large-joint replacement when also taking methotrexate, a new study indicates.
https://immattersacp.org/weekly/archives/2015/04/14/5.htm
14 Apr 2015