Search results for "Infections"
MKSAP Quiz: Evaluation for intestinal metaplasia
A 40-year-old woman is evaluated for intestinal metaplasia found on recent upper endoscopy to assess postprandial pain. No ulcers were visualized but generalized erythema and irregular mucosal pattern was noted. Following biopsy specimens, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/01/30/3.htm
30 Jan 2024
Screening for latent TB may miss higher-risk patients
A study of one large U.S. health system found that risk factors for latent tuberculosis (TB) were not associated with greater likelihood of screening.
https://immattersacp.org/weekly/archives/2024/01/23/4.htm
23 Jan 2024
MKSAP Quiz: Cough, rhinorrhea, and wheezing for 3 weeks
A 23-year-old man is evaluated for cough, rhinorrhea, and wheezing of 3 weeks' duration. He has no fevers, chills, or chest pain and no history of asthma or allergies. He is a pastry chef and notes that his symptoms improve on nonworking weekends. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/02/3.htm
2 Jan 2024
Sorting out vertigo
A shift in diagnostic approach for vertigo involves asking about the timing and triggers for episodes rather than a description of symptoms.
https://immattersacp.org/archives/2024/01/sorting-out-vertigo.htm
1 Jan 2024
Tirzepatide for weight management, at-home STI tests
This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2024/01/tirzepatide-for-weight-management-at-home-sti-tests.htm
1 Jan 2024
MKSAP Quiz: 6-month history of fatigue, joint and chest pain, sun sensitivity
A 25-year-old woman is evaluated for a 6-month history of fatigue, joint pain, sun sensitivity, and pleuritic chest pain. Medications are an oral contraceptive pill and as-needed naproxen. Following a physical exam and other lab results, what is the most appropriate test?
https://immattersacp.org/archives/2024/01/mksap-quiz-6-month-history-of-fatigue-joint-and-chest-pain-sun-sensitivity.htm
1 Jan 2024
CDC publishes guidance on testing for flu, COVID-19
Patients presenting with acute respiratory illness should be tested for SARS-CoV-2 with nucleic acid detection or antigen detection assay, as well as flu if the results will change clinical management or infection control decisions, the CDC said.
https://immattersacp.org/weekly/archives/2023/12/19/1.htm
19 Dec 2023
MKSAP Quiz: Evaluation for multiple myeloma
A 64-year-old man is evaluated following a recent diagnosis of multiple myeloma. Chemotherapy is planned to begin in 14 days. Which prophylactic therapy is indicated today?
https://immattersacp.org/weekly/archives/2023/12/05/3.htm
5 Dec 2023
Modeling study finds RSV vaccines cost-effective for older U.S. adults
Vaccination programs using the monovalent adjuvanted or bivalent vaccine against respiratory syncytial virus (RSV) were projected to be potentially cost-effective at a price per dose of up to $127 or up to $118, respectively, over a first RSV season.
https://immattersacp.org/weekly/archives/2023/12/05/4.htm
5 Dec 2023
Patients with Hashimoto disease and symptoms despite medication may benefit from thyroidectomy
Follow-up of a small randomized trial in Norway found that total thyroidectomy improved symptoms for up to five years but that complication rates were higher than expected.
https://immattersacp.org/weekly/archives/2023/11/28/4.htm
28 Nov 2023