Search results for "Hypertension"
MKSAP Quiz: Evaluation for progressive chest pain
A 56-year-old man is evaluated in the emergency department for progressive chest pain and dyspnea that began 3 hours ago. Medical history is significant for hypertension treated with lisinopril. Following a physical exam, electrocardiogram, and chest radiograph, what is the most appropriate immediate management?
https://immattersacp.org/archives/2020/09/mksap-quiz-evaluation-for-progressive-chest-pain.htm
1 Sep 2020
Getting dialysis for undocumented patients
Undocumented immigrants in the U.S. with end-stage kidney disease (ESKD) number in the thousands, and new programs and policies are allowing them to tap into dialysis before their condition warrants emergency treatment.
https://immattersacp.org/archives/2021/02/getting-dialysis-for-undocumented-patients.htm
1 Feb 2021
MKSAP Quiz: 2-month history of edema
A 28-year-old man is evaluated for a 2-month history of progressive lower-extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. He has no other known medical issues and takes no medications. Following a physical exam, lab studies, and kidney analysis, what test is most likely to establish the cause of this patient's focal segmental glomerulosclerosis?
https://immattersacp.org/weekly/archives/2018/02/06/3.htm
6 Feb 2018
MKSAP Quiz: Multiple sclerosis in the setting of pregnancy
A 29-year-old woman is evaluated during a routine follow-up examination of multiple sclerosis, which was diagnosed 3 years ago. The patient says she wishes to discontinue her oral contraceptive and attempt to become pregnant. She has no other personal or family medical history of note. Medications are fingolimod, vitamin D, and an oral contraceptive. Besides discontinuing the oral contraceptive, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/02/13/3.htm
13 Feb 2018
Some traditional Chinese medicine may provide benefits in cardiovascular conditions
Some traditional Chinese medications might be used as a complementary and alternative approach for primary and secondary prevention of cardiovascular disease, but further long-term study is needed.
https://immattersacp.org/weekly/archives/2017/06/13/2.htm
13 Jun 2017
MKSAP Quiz: Counseling regarding contraceptives
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications. Which contraceptive method would be most appropriate for this patient?
https://immattersacp.org/weekly/archives/2018/01/23/3.htm
23 Jan 2018
MKSAP Quiz: Exacerbations of heart failure
A 68-year-old man is evaluated at a follow-up appointment. He has a 7-year history of heart failure secondary to ischemic cardiomyopathy. Over the past 6 months, he has had three hospitalizations for exacerbations of his heart failure. He currently has exertional dyspnea while getting dressed, and his maximal activity level is limited to riding to the store with his wife but staying in the car. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/03/13/3.htm
13 Mar 2018
Restrictions on drug detailing may lead to less prescribing
Researchers looked at changes in prescribing behavior of 2,126 physicians at 19 academic medical centers in five states before and after enactment of detailing policies and compared them with those of 24,593 matched control physicians.
https://immattersacp.org/weekly/archives/2017/05/09/2.htm
9 May 2017
MKSAP Quiz: Evaluation during a routine examination
A 74-year-old woman is evaluated during a routine examination. Her medical history is significant for hypertension and obesity. She is a former smoker, stopping 5 years ago. Medications are amlodipine, lisinopril, and aspirin. Following a physical exam and ankle-brachial index score, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/07/19/3.htm
19 Jul 2016
Exercise a fitting path to improved health
Some physicians tout successes in getting patients moving more by suggesting incremental changes in their activity levels, and also by highlighting the more immediately visible payoffs.
https://immattersacp.org/archives/2021/04/exercise-a-fitting-path-to-improved-health.htm
1 Apr 2021