Search results for "Infectious disease"
MKSAP Quiz: Follow-up for HIV infection
A 30-year-old woman is evaluated in follow-up after being recently diagnosed with HIV infection. She is asymptomatic. Medical history is unremarkable, and she takes no medications; she has not yet started antiretroviral therapy. She received all scheduled childhood immunizations. Following a physical exam and lab studies, what immunizations should this patient receive today?
https://immattersacp.org/weekly/archives/2018/05/08/3.htm
8 May 2018
Tailoring diabetes screening by race, ethnicity may lead to earlier diagnosis
Researchers used data from the National Health and Nutrition Examination Survey to determine the body mass index and age thresholds for diabetes screening in major racial/ethnic minority populations.
https://immattersacp.org/weekly/archives/2022/05/10/1.htm
10 May 2022
The pain of 2020 and the hope for 2021
We have lost so much this past year, but loss also reminds us of our abundant blessings, so many we take for granted daily.
https://immattersacp.org/archives/2020/11/the-pain-of-2020-and-the-hope-for-2021.htm
1 Nov 2020
MKSAP Quiz: Evaluation for a skin eruption
A 47-year-old man is evaluated for a skin eruption. Approximately 2 weeks ago, his wife noted an erythematous macule on his back. Over the ensuing week, the site became progressively larger. He notes mild fatigue but no fevers. He recently returned from a vacation in Massachusetts, which included outdoor activities such as bike riding and walking to the beach. He reports no known tick attachment. On physical examination, temperature is 37.2##deg;C (100.0##deg;F), blood pressure is 117/68 mm Hg, pulse rate is 52/min, and respiration rate is 18/min. The skin lesion is shown. Which of the following is the most appropriate management?.
https://immattersacp.org/archives/2016/10/mksap.htm
1 Oct 2016
Getting to the new normal
A new way of conducting office visits in the wake of the COVID-19 pandemic seems frightening at first, but the precautions taken instill in patients confidence that they are safe visiting their doctor.
https://immattersacp.org/archives/2020/06/getting-to-the-new-normal.htm
1 Jun 2020
MKSAP Quiz: 1-week history of sore throat, odynophagia
A 30-year-old man is evaluated for a 1-week history of sore throat and odynophagia. He reports no fever, nausea, vomiting, diarrhea, or other symptoms. He was recently diagnosed with HIV infection and began antiretroviral therapy 2 weeks ago. Following a physical exam, oral exam, and lab studies, what is the most appropriate management?
https://immattersacp.org/archives/2021/03/mksap-quiz-1-week-history-of-sore-throat-odynophagia.htm
1 Mar 2021
Be proactive about managing hepatitis B
Reports and other guidance on both hepatitis B virus prevention and treatment all have reprised a common theme: Clearly vulnerable individuals are too often missed.
https://immattersacp.org/archives/2018/04/be-proactive-about-managing-hepatitis-b.htm
1 Apr 2018
MKSAP Quiz: evaluation for exposure to tuberculosis
A 28-year-old man is evaluated after being informed his roommate at a homeless shelter was diagnosed with pulmonary tuberculosis. He reports no fever, cough, night sweats, or weight loss. Medical history is significant for injection drug use, most recently 2 weeks ago, although he reports no known infectious complications in the past. Following physical exams and other tests, what is the most appropriate next step in the management of this patient?
https://immattersacp.org/weekly/archives/2016/06/07/3.htm
7 Jun 2016
Resist the urge to overtreat bacteriuria
Antibiotics could be avoided more frequently even in patients who have significant bacteriuria if a physician takes the time to convey potential antibiotic risks.
https://immattersacp.org/archives/2019/07/resist-the-urge-to-overtreat-bacteriuria.htm
1 Jul 2019
MKSAP Quiz: 2-day history of pruritic rash
An 18-year-old man is evaluated for a 2-day history of pruritic rash. He sits nightly in his hot tub. He has not had a rash like this before. Following a physical exam, what is the most appropriate management for this patient?
https://immattersacp.org/weekly/archives/2022/10/04/3.htm
4 Oct 2022