Search results for "Autoimmune diseases"
MKSAP Quiz: evaluation for acute kidney injury
A 57-year-old man is evaluated for a diagnosis of acute kidney injury. He was diagnosed with gastroesophageal reflux disease 3 weeks ago and was prescribed omeprazole. Several days ago he noticed lower extremity swelling and decreased frequency of urination. Laboratory evaluation showed a serum creatinine level of 2.2 mg/dL (194.5 µmol/L). Medical history is otherwise unremarkable. Following a physical exam and discontinuing omeprazole, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/09/13/3.htm
13 Sep 2016
MKSAP Quiz: Intermittent abdominal discomfort
A 61-year-old woman is evaluated for intermittent abdominal discomfort and a bloating sensation. Approximately 2 months before the swelling started, the patient had a pruritic, gradually progressive rash characterized by redness of the face, and a pruritic rash on her chest, upper back, shoulders, hands, and lateral hips. She has no muscle pain, weakness, or joint pain. Pertinent family history includes breast cancer in her mother and ovarian cancer in her grandmother. Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. Following a physical exam and lab findings, what is the most appropriate diagnostic study for this patient?.
https://immattersacp.org/archives/2013/11/mksap.htm
1 Nov 2013
MKSAP Quiz: 4-month history of skin lesions
This week's quiz asks readers to evaluate a 40-year-old woman for a 4-month history of symmetrically distributed, severely pruritic, grouped erosions on her elbows, knees, back, and buttocks.
https://immattersacp.org/weekly/archives/2012/09/11/3.htm
11 Sep 2012
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
Classified Advertising 16 ACPINTERNIST Answer: Factor IXDeficiency of factor ...
Antinuclear antibody (ANA) serologictesting may be useful in the diagnosisof autoimmune diseases and is frequentlypositive in dermatomyositis.
https://immattersacp.org/archives/2013/11/acpi-201311-puzzle_t2.pdf
1 Nov 2013