Search results for "Hypertension"
MKSAP Quiz: 1 week of urinary incontinence
An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever, or back pain. Medical history is significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. Her only medication is amlodipine. Following a physical exam and urine dipstick result, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/24/3.htm
24 Jul 2018
MKSAP Quiz: Routine follow-up visit and hepatitis B
A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatitis B infection. Her hepatitis B infection has been treated with tenofovir for the past 5 years with suppression of her serum hepatitis B DNA levels. Following a physical exam and lab studies, what is the most likely cause of this patient's kidney findings?
https://immattersacp.org/weekly/archives/2018/07/31/3.htm
31 Jul 2018
MKSAP Quiz: Progressive malaise and weakness, aches, and stiffness
A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness. He recently noted aching in his jaw when chewing and reports new left-sided headaches. His erythrocyte sedimentation rate is elevated. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2019/11/26/3.htm
26 Nov 2019
Evaluating alcohol use in ‘Dry January’
With the pandemic's effects on drinking as a backdrop, public health initiatives like “Dry January” may be enticing to patients who want to pause their drinking and examine their habits.
https://immattersacp.org/archives/2022/01/evaluating-alcohol-use-in-dry-january.htm
1 Jan 2022
MKSAP Quiz: 1-month history of malaise, myalgia, weight loss
A 65-year-old man is evaluated for a 1-month history of progressive malaise, myalgia, a 3.6-kg (8.0-lb) weight loss, and numbness and weakness of the right foot; left testicular pain for 1 week; and a painful rash on his legs for 2 days. Following a physical exam, lab studies, and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/03/12/3.htm
12 Mar 2019
New BP guideline seeks earlier intervention
Recategorized, lower thresholds might give physicians effective new weapons in the fight against hypertension, but some contend that it's premature to change clinical practice.
https://immattersacp.org/archives/2018/03/new-bp-guideline-seeks-earlier-intervention.htm
1 Mar 2018
MKSAP Quiz: Posthospital evaluation for severe COPD
A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations. Following physical and pulmonary exams, what is the most appropriate treatment to reduce this patient's COPD exacerbations?
https://immattersacp.org/weekly/archives/2019/08/20/3.htm
20 Aug 2019
MKSAP Quiz: evaluation for elevated blood pressure
A 54-year-old man is evaluated for elevated blood pressure noted recently at a local health fair. On this visit and on two subsequent nurse visits, the patient's blood pressure measurements are less than 140/90 mm Hg. Following lab studies and an electrocardiogram, what is the next most appropriate step in management?
https://immattersacp.org/weekly/archives/2017/07/25/3.htm
25 Jul 2017
Scientific statement reviews cardiovascular risks, prevention, and treatment in patients with HIV
Even when adequately controlled, HIV is associated with increased cardiovascular risk, said a recent scientific statement from the American Heart Association, which offered advice on risk assessment and preventive treatment.
https://immattersacp.org/weekly/archives/2019/06/11/2.htm
11 Jun 2019
Intensive blood pressure lowering may not induce true kidney disease
The findings can help improve understanding of the significance of creatinine elevations observed during hypertension therapy.
https://immattersacp.org/weekly/archives/2018/10/23/1.htm
23 Oct 2018