Search results for "Venous thromboembolism"
Oral anticoagulants and antiplatelets compared for risk of recurrent VTE, major bleeds
All oral anticoagulants and antiplatelet agents reduced recurrence of venous thromboembolism (VTE) compared with placebo, with aspirin reducing risk the least and vitamin K antagonists reducing it the most, a meta-analysis found.
https://immattersacp.org/weekly/archives/2013/09/10/5.htm
10 Sep 2013
MKSAP Quiz: 2-day history of shortness of breath
A 35-year-old man is evaluated in the emergency department for a 2-day history of shortness of breath with no cough or hemoptysis. Medical history is unremarkable, and he takes no medications. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/07/05/4.htm
5 Jul 2022
MKSAP Quiz: Multiple segmental pulmonary emboli
A 65-year-old man is diagnosed with multiple segmental pulmonary emboli in the right lung. He has no other medical problems, and he takes no medications. He is alert and engaged in shared decision making. After a physical exam and discussion with the patient, what is the appropriate treatment recommendation?
https://immattersacp.org/weekly/archives/2022/05/31/3.htm
31 May 2022
Aspirin appears to reduce recurrence of VTE after stopping anticoagulants
Aspirin reduced the risk of venous thromboembolism (VTE) recurrence with no apparent increase in major bleeding in patients who had an initial unprovoked VTE and had discontinued anticoagulant treatment, a study found.
https://immattersacp.org/weekly/archives/2012/06/05/6.htm
5 Jun 2012
MKSAP Quiz: Involuntary urine loss with coughing
A 68-year-old woman is evaluated for involuntary urine loss that occurs with coughing, sneezing, and laughing and occasionally with physical exertion. She has no dysuria, urinary frequency, hematuria, or nocturia but does report vaginal dryness and dyspareunia. She performs pelvic floor muscle training exercises four times daily. Following a physical exam and pelvic exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/06/21/3.htm
21 Jun 2022
Gestational diabetes associated with risks later in life, but lifestyle makes a difference, studies find
A review found increased risks of cardiovascular and cerebrovascular disease in women who had gestational diabetes, while another study showed that five markers of a healthy lifestyle were associated with a significant reduction in risk of developing type 2 diabetes after gestational diabetes.
https://immattersacp.org/weekly/archives/2022/09/27/4.htm
27 Sep 2022
Arthroplasty associated with increased risk of heart attack in early postoperative period
The immediate postoperative risk of myocardial infarction following total joint arthroplasty may have been previously underappreciated, authors noted.
https://immattersacp.org/weekly/archives/2015/09/01/2.htm
1 Sep 2015
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
Aspirin didn't reduce recurrent VTE but did reduce major vascular events
Low-dose aspirin may have therapeutic benefit for patients who have completed initial anticoagulant therapy for an unprovoked venous thromboembolism (VTE) even though the rate of recurrent VTE was not significantly reduced in a recent study.
https://immattersacp.org/weekly/archives/2012/11/13/1.htm
13 Nov 2012
MKSAP Quiz: Counseling regarding contraceptives
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications. Which contraceptive method would be most appropriate for this patient?
https://immattersacp.org/weekly/archives/2018/01/23/3.htm
23 Jan 2018