Search results for "Endocrinology"
MKSAP Quiz: evaluation during fourth week of pregnancy
A 27-year-old woman is evaluated during the fourth week of an uneventful pregnancy. She has a 3-year history of primary hypothyroidism due to Hashimoto thyroiditis that is treated with levothyroxine, 125 µg/d. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/04/30/3.htm
30 Apr 2013
MKSAP Quiz: treatment of community-acquired pneumonia
A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Following blood cultures, a physical exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/07/08/3.htm
8 Jul 2014
Experts offer advice on oral drugs, insulin for diabetes
Any type 2 diabetic is eventually going to need oral medications, and some on oral medications may eventually progress to needing insulin. The regimens are complex and vary from patient to patient. Learn how to individually tailor such decisions.
https://immattersacp.org/archives/2011/06/diabetes.htm
1 Jun 2011
MKSAP Quiz: 3-week history of fatigue, weight loss
A 58-year old woman is evaluated for a 3-week history of fatigue and weight loss. The patient has no significant medical history and takes no prescription medication, but she does take a daily over-the-counter multivitamin and a calcium supplement. She has a 50-pack-year smoking history. Following a physical exam, lab tests and chest radiograph, what is the most likely cause of her hypercalcemia?
https://immattersacp.org/weekly/archives/2013/07/23/3.htm
23 Jul 2013
MKSAP Quiz: Unable to achieve pregnancy
A 37-year-old woman is unable to achieve pregnancy despite 7 months of unprotected intercourse. Her menstrual cycles are normal, occurring every 28 days with associated breast tenderness and bloating. There have been no prior pregnancies or attempts to achieve pregnancy by either the patient or her male partner. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/04/14/3.htm
14 Apr 2020
Antidepressants associated with decreased mortality rates in patients with diabetes and depression
A retrospective cohort study in Taiwan found that antidepressant use was associated with a significantly reduced risk for death, and after adjustment, total mortality decreased as total cumulative antidepressant dose increased.
https://immattersacp.org/weekly/archives/2019/07/09/4.htm
9 Jul 2019
Registration open for ACP webinars on diabetes, opioids, and gender equity
Topics include “Update on Diabetes Mellitus,” “Managing Patients Not Benefiting From (or Being Harmed by) Opioids,” and “Putting Gender Equity Principles into Action.”
https://immattersacp.org/weekly/archives/2018/08/28/6.htm
28 Aug 2018
MKSAP Quiz: Flushing of the face of 1 year's duration
A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. Following a physical exam, which medications should be discontinued prior to screening for secondary causes of hypertension?
https://immattersacp.org/weekly/archives/2019/09/24/3.htm
24 Sep 2019
Parathyroidectomy for primary hyperparathyroidism didn't affect kidney function in older patients
While parathyroidectomy was not associated with risk of estimated glomerular filtration rate decline in patients ages 60 years and older with primary hyperparathyroidism, there was reduced risk in younger patients, a retrospective study found.
https://immattersacp.org/weekly/archives/2023/04/11/2.htm
11 Apr 2023
MKSAP Quiz: Evaluation for anorexia, dizziness, weakness
A 45-year-old man is evaluated for anorexia, dizziness, and weakness. He was discharged from the hospital 5 days ago after transsphenoidal pituitary surgery for a pituitary macroadenoma abutting the optic chiasm. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/01/14/3.htm
14 Jan 2020