Search results for "Side effects"
MKSAP Quiz: Follow-up for sleep apnea
A 52-year-old man is evaluated in follow-up after being diagnosed with severe obstructive sleep apnea 8 weeks ago. Continuous positive airway pressure (CPAP) was prescribed based on a titration during in-laboratory polysomnography. He notes some improvement in his sleep with CPAP, but he still feels drowsy during the day. Following a physical exam, cardiopulmonary exam, and neurologic exam, what is the most appropriate next step in management to address this patient's continued drowsiness?
https://immattersacp.org/weekly/archives/2018/06/05/3.htm
5 Jun 2018
Prescribe opioids, but with caution
Use of opioids for chronic pain quadrupled in a 10-year span, despite scant evidence that they are effective for noncancer pain and ample evidence of harm. Learn more about how to prescribe them safely.
https://immattersacp.org/archives/2015/07/opioids.htm
1 Jul 2015
MKSAP Quiz: 3-day history of dysuria
A 26-year-old man is admitted to the emergency department with a 3-day history of dysuria with yellow urethral discharge. Following a physical exam and a Gram stain of urethral discharge, what is the most appropriate treatment?.
https://immattersacp.org/archives/2015/07/mksap.htm
1 Jul 2015
Calculating risk for cholesterol drugs
Differing guidelines and a new class of drugs may cause uncertainty on the part of patients and practitioners.
https://immattersacp.org/archives/2015/11/cholesterol.htm
1 Nov 2015
Strong evidence for CBT, medications in treating binge-eating disorder, review finds
Physicians in practice may not know what to make of this newly defined disorder, which may be challenging to detect because of the shame that is often involved, according to an editorial.
https://immattersacp.org/weekly/archives/2016/06/28/4.htm
28 Jun 2016
Little difference found among prostate cancer treatments regarding clinical results, patient-reported outcomes
More men in the active-monitoring group developed metastases than in the surgery or radiotherapy groups, and there were higher rates of disease progression in the active-monitoring group than in the surgery or radiotherapy groups.
https://immattersacp.org/weekly/archives/2016/09/20/2.htm
20 Sep 2016
Unwind the ‘story’ to diagnose asthma, allergies
Every asthma or allergy patient has a story, and the details that the patients relate tell the internist how best to manage and treat several conditions that are interrelated and frequently comorbid.
https://immattersacp.org/archives/2016/07/allergies.htm
1 Jul 2016
Atrial fibrillation patients often prescribed aspirin instead of anticoagulants, study finds
Cardiologists may be prescribing aspirin instead of oral anticoagulants because they think that aspirin is as efficacious as oral anticoagulants, or because they want to avoid the inconvenience of oral anticoagulation.
https://immattersacp.org/weekly/archives/2016/06/21/4.htm
21 Jun 2016
MKSAP Quiz: Evaluating a 1-year history of loose stools
A 67-year-old woman is evaluated for a 1-year history of loose stools. She reports approximately four episodes per day without abdominal pain. She has not had nausea, vomiting, weight loss, bright red blood per rectum, or melena. After a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/07/14/3.htm
14 Jul 2015
Fibromyalgia characterized by controversy
There is very clear, objective evidence that fibromyalgia is a real problem. But there remains considerable dissent among the medical community about the condition's cause.
https://immattersacp.org/archives/2016/09/fibromyalgia.htm
1 Sep 2016