Search results for "Rheumatology"
MKSAP Quiz: Follow-up visit for systemic lupus erythematosus
A 30-year-old woman is evaluated during a follow-up visit for systemic lupus erythematosus. She was diagnosed 3 months ago after presenting with pericarditis and arthritis. She was initially treated with prednisone, 40 mg/d, with improvement of her presenting symptoms. The prednisone has been tapered over 3 months to her current dose of 10 mg/d with no recurrence. Following a physical and cardiac exam, what is the most appropriate next step in treating this patient?
https://immattersacp.org/weekly/archives/2018/03/06/3.htm
6 Mar 2018
MKSAP Quiz: 2-week history of left-sided headaches
An 82-year-old woman is evaluated for a 2-week history of left-sided headaches with pain on chewing, accompanied by achiness in the shoulders and hips. She has no other pertinent personal or family history. She takes no medications. Following a physical exam and lab studies, what is the most appropriate immediate next step in management?
https://immattersacp.org/weekly/archives/2017/11/14/3.htm
14 Nov 2017
More options available for psoriatic arthritis
Internists are the first doctors patients see for joint pain, which means they can make a big difference in preventing the progression of joint diseases such as psoriatic arthritis.
https://immattersacp.org/archives/2019/04/more-options-available-for-psoriatic-arthritis.htm
1 Apr 2019
MKSAP Quiz: 2-month history of increased dyspnea
A 48-year-old woman is evaluated for a 2-month history of increased dyspnea, wheezing, and nonproductive cough. She also reports intermittent pain and swelling in the wrists and knees for the past 6 months. She was diagnosed with scleritis of the left eye 1 month ago that improved with glucocorticoid drops. She also had two episodes of right pinna pain, redness, and swelling. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/01/mksap-quiz-2-month-history-of-increased-dyspnea.htm
1 Jan 2020
MKSAP Quiz: Gout with flares
This week's quiz asks readers to determine the appropriate next step in management for a 59-year-old man with a 6-month history of gout, hypersensitivity to allopurinol, and more frequent gout flares.
https://immattersacp.org/weekly/archives/2015/09/15/3.htm
15 Sep 2015
Shingles vaccine can be given before starting tofacitinib, industry-funded study says
The authors concluded that tofacitinib alone for the treatment of rheumatoid arthritis should be considered to help reduce the risk of shingles in vaccinated patients, provided that patients' arthritis remains controlled on the drug.
https://immattersacp.org/weekly/archives/2017/08/29/5.htm
29 Aug 2017
MKSAP quiz: 2-month history of weight loss, abdominal cramping, loose stools
A 32-year-old woman is evaluated for a 2-month history of weight loss, abdominal cramping, and loose stools. Her stools are malodorous, but she has not noted any blood associated with her bowel movements. Although her appetite is good, she has lost 3.2 kg (7.0 lb). She has an 8-year history of diffuse cutaneous systemic sclerosis. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/08/15/3.htm
15 Aug 2017
MKSAP Quiz: 2-year history of low libido
A 37-year-old man is evaluated for a 2-year history of low libido, loss of morning erections, fatigue, and decreasing muscle mass. His medical history is otherwise unremarkable. He takes no medications. A physical exam, lab studies, and pituitary MRI are done. Before starting therapy for this patient, what else should be determined?
https://immattersacp.org/weekly/archives/2017/05/09/3.htm
9 May 2017
MKSAP Quiz: 1-year history of fatigue, headaches, sore throat
A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2020/02/latest-updates-on-acps-priorities-initiatives.htm
1 Feb 2020