Search results for "Rheumatology"
MKSAP Quiz: 5-year history of recurrent gout
A 53-year-old man is evaluated for a 5-year history of recurrent gout attacks involving the base of the great toes, mid feet, and ankles. Episodes are becoming more frequent and severe. History is also significant for hypertension and stage 3 chronic kidney disease. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/12/11/3.htm
11 Dec 2018
MKSAP Quiz: Recently worsening joint symptoms
A 49-year-old woman is evaluated for recently worsening joint symptoms. She has a 13-year history of Crohn disease characterized by four to six stools daily and mild crampy abdominal pain. She also has a 1-year history of arthritis. Following a physical exam, what is the most appropriate long-term treatment?
https://immattersacp.org/weekly/archives/2018/10/23/3.htm
23 Oct 2018
MKSAP Quiz: Follow-up for ankylosing spondylitis
A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain with morning stiffness lasting 20 minutes. She is able to pursue her activities of daily living without any restrictions. Following a physical exam, lab studies, and radiography, what should be performed next?
https://immattersacp.org/weekly/archives/2018/08/21/3.htm
21 Aug 2018
Giant-cell arteritis needs prompt action for good outcomes
The differential diagnosis of this condition can be challenging because many conditions can mimic it.
https://immattersacp.org/archives/2021/05/giant-cell-arteritis-needs-prompt-action-for-good-outcomes.htm
1 May 2021
MKSAP Quiz: Painless intermittent bloody urine
A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks' duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for 3 years and oral cyclophosphamide for 1 year. Following a physical exam, lab studies, and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/06/12/3.htm
12 Jun 2018
Obituary
Robert “Bob” B. Gibbons, MD, MACP, died on March 13, 2019, at age 81.
https://immattersacp.org/archives/2019/04/obituary.htm
1 Apr 2019
ACR guideline recommends customized approach for prevention of glucocorticoid-induced osteoporosis
Recommendations include treating only with calcium and vitamin D in adults at low fracture risk, and adding an additional osteoporosis medication (oral bisphosphonate preferred) in adults at moderate to high fracture risk.
https://immattersacp.org/weekly/archives/2017/06/20/2.htm
20 Jun 2017
MKSAP Quiz: 1-month history of progressive rash
A 22-year-old woman is evaluated for a 1-month history of progressive rash on the face, chest, and arms following sun exposure. She also has experienced wrist arthralgia and malaise for the past 2 weeks. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/05/mksap-quiz-1-month-history-of-progressive-rash.htm
1 May 2022
Oaths, charters, and our professional ethos
A re-examination of the Hippocratic Oath leads to questions of ethics, professionalism, and a more modern code that physicians can follow.
https://immattersacp.org/archives/2020/03/oaths-charters-and-our-professional-ethos.htm
1 Mar 2020
Relationships between primary care physicians, specialists may affect patient satisfaction
Patients gave higher ratings after a referral if the specialist trained with their primary care physician, a quasi-experimental study found.
https://immattersacp.org/weekly/archives/2023/01/10/4.htm
10 Jan 2023