Search results for "Coronary artery disease"
MKSAP Quiz: 8-week history of postprandial abdominal pain
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022
MKSAP quiz: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022
MKSAP Quiz: 4-month history of progressive exertional dyspnea
A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Following a physical exam and lab tests, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/09/3.htm
9 Aug 2022
MKSAP Quiz: Follow-up visit for rheumatoid arthritis
A 58-year-old man is evaluated at a follow-up visit. He has had rheumatoid arthritis for 5 years. Increasing morning stiffness, fatigue, increasing joint pain, and swelling of small hand joints have developed in the past 6 months. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/08/16/3.htm
16 Aug 2022
Gestational diabetes associated with risks later in life, but lifestyle makes a difference, studies find
A review found increased risks of cardiovascular and cerebrovascular disease in women who had gestational diabetes, while another study showed that five markers of a healthy lifestyle were associated with a significant reduction in risk of developing type 2 diabetes after gestational diabetes.
https://immattersacp.org/weekly/archives/2022/09/27/4.htm
27 Sep 2022
MKSAP Quiz: 2-year history of worsening hot flashes
A 56-year-old woman is evaluated for a 2-year history of worsening hot flashes and night sweats. She reports that the night sweats awaken her several times nightly, resulting in fatigue and missed work. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/12/20/3.htm
20 Dec 2022
CTA-detected coronary artery disease associated with increased risk for myocardial infarction
Danish researchers used computed tomography angiography (CTA) to diagnose obstructive coronary atherosclerosis in 9,533 asymptomatic patients ages 40 years or older without known cardiovascular disease.
https://immattersacp.org/weekly/archives/2023/03/28/2.htm
28 Mar 2023
Colchicine linked to lower incidence of total knee, hip replacements in patients with chronic coronary artery disease
Compared to placebo, colchicine (0.5 mg once daily) was associated with a 31% lower incidence of total knee replacements and total hip replacements, an exploratory analysis of a randomized controlled trial found.
https://immattersacp.org/weekly/archives/2023/05/30/1.htm
30 May 2023
MKSAP Quiz: Evaluation for recurrent syncope
A 25-year-old man is evaluated for recurrent syncope. The syncopal episodes are abrupt and without prodrome and have occurred several times during the past year. Following a physical exam, lab studies, and ECG, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/06/mksap-quiz-evaluation-for-recurrent-syncope.htm
1 Jun 2023
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/2023/07/latest-updates-on-acps-priorities-initiatives.htm
1 Jul 2023