Search results for "Allergies"
MKSAP Quiz: pre-procedural evaluation
A 46-year-old woman is evaluated before undergoing a dental cleaning procedure involving deep scaling. She has a history of mitral valve prolapse without regurgitation and also had methicillin-resistant Staphylococcus aureus (MRSA) aortic valve endocarditis 10 years ago treated successfully with antibiotics. The patient notes an allergy to penicillin characterized by hypotension, hives, and wheezing. The remainder of the history is noncontributory. Following a physical and cardiopulmonary examination, what is the most appropriate prophylactic regimen for this patient before her dental procedure?
https://immattersacp.org/weekly/archives/2014/12/23/3.htm
23 Dec 2014
Two key questions guide H. pylori treatment
The best and most cost-effective treatments for H. pylori infection are the ones that work.
https://immattersacp.org/archives/2018/07/two-key-questions-guide-h-pylori-treatment.htm
1 Jul 2018
New warnings on benzodiazepines
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/11/new-warnings-on-benzodiazepines.htm
1 Nov 2020
MKSAP Quiz: 2-day history of painful rash
A 22-year-old man is evaluated in the emergency department for a 2-day history of painful rash on the left side of his posterior chest. Medical history is unremarkable, and he takes no medications. Following a physical exam, what is the most appropriate test to perform next?
https://immattersacp.org/archives/2020/06/mksap-quiz-2-day-history-of-painful-rash.htm
1 Jun 2020
Tick-borne rickettsial disease recommendations updated by the CDC
Rickettsial diseases in the United States have increased during the past decade, according to a report, which notes that they continue to cause severe illness and death in otherwise healthy adults and children, despite the availability of effective antibacterial therapy.
https://immattersacp.org/weekly/archives/2016/05/24/4.htm
24 May 2016
Internal Medicine Meeting 2017 offers new, rapid-fire session
At Internal Medicine Meeting 2017, expect to hear recent research findings, clinical pearls and pitfalls, and maybe the sound of a gong.
https://immattersacp.org/archives/2017/02/preview.htm
1 Feb 2017
MKSAP Quiz: rash on hands present for 6 weeks
A 40-year-old woman is evaluated for a rash on her hands that has been present for 6 weeks. This rash comes and goes throughout the year and has been present for many years, but never as severe as it is now. She also experiences itchy skin on her body. She had eczema as a child and currently has seasonal allergies. She is otherwise well and is currently taking no medication. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/11/11/3.htm
11 Nov 2014
Vaccine recommendations updated for pneumococcus, Tdap and flu
The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) issued a new adult immunization schedule that adds the pneumococcal conjugate vaccine, updates Tdap regimens for the elderly and pregnant women, and eliminates the egg-allergy exception for influenza vaccines.
https://immattersacp.org/weekly/archives/2013/01/29/2.htm
29 Jan 2013
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
Vote for your favorite entry
ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.
https://immattersacp.org/weekly/archives/2016/07/26/7.htm
26 Jul 2016