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MKSAP Quiz: Fatigue, anorexia, and myalgia

A 68-year-old woman is hospitalized with fatigue, anorexia, and myalgia worsening over the last week. She underwent laparotomy 4 weeks ago for trauma sustained in a motor vehicle accident, which necessitated a splenectomy. She received 3 units of blood. Which of the following transfusion-transmitted diseases is the most likely diagnosis?
https://immattersacp.org/archives/2020/05/mksap-quiz-fatigue-anorexia-myalgia.htm
1 May 2020

MKSAP quiz: Follow-up for elevated liver chemistry test results

A 28-year-old man is evaluated in follow-up for elevated liver chemistry test results, which were performed to assess a 3-month history of fatigue. He has no history of liver disease and has not had abdominal pain or fever. His medical history is significant for a 3-year history of diarrhea.
https://immattersacp.org/weekly/archives/2017/02/28/3.htm
28 Feb 2017

MKSAP quiz: 2-week history of rash on face, midchest

This week's quiz asks readers to determine the most likely diagnosis for a 32-year-old man evaluated for a 2-week history of a rash on his face and midchest consisting of small, reddish, intensely itchy “lumps.”
https://immattersacp.org/weekly/archives/2017/08/29/4.htm
29 Aug 2017

Managing superbugs in your community

General internists are poised to assume a key role in tackling the increasingly formidable threat of antimicrobial resistance.
https://immattersacp.org/archives/2017/05/superbugs.htm
1 May 2017

IDSA issues updated guidelines on infectious diarrhea

Among the recommendations, physicians should obtain a detailed clinical exposure history from all people with diarrhea, including when there is a similar history in other patients, and patients who have fever or bloody diarrhea should be evaluated for enteropathogens that may respond to antimicrobial agents.
https://immattersacp.org/weekly/archives/2017/10/24/1.htm
24 Oct 2017

CDC publishes recommendations on use of RSV vaccines

The two vaccines for respiratory syncytial virus (RSV) were approved by the FDA for older adults in May.
https://immattersacp.org/weekly/archives/2023/08/01/4.htm
1 Aug 2023

Internists interacting with retail clinics

Primary care physicians are seeing more patients after they've already been to a retail health clinic. Experts say that a more patient-centered model needs to evolve to combat the ease of seeking care outside the doctor's office.
https://immattersacp.org/archives/2016/02/retail-clinics.htm
1 Feb 2016

COVID-19 upends every aspect of visits

Several months into the COVID-19 pandemic, it's still uncertain to what degree it will reshape the practice of medicine and office management in the near and long terms.
https://immattersacp.org/archives/2020/07/covid-19-upends-every-aspect-of-visits.htm
1 Jul 2020

5 key takeaways from vaping crisis

The electronic cigarette or vaping product use-associated lung injury (EVALI) crisis has reached critical mass, sending thousands to the hospital and sometimes proving fatal.
https://immattersacp.org/archives/2020/03/5-key-takeaways-from-vaping-crisis.htm
1 Mar 2020

After splenectomy, clots join infection as potential risks

Fewer splenectomies are being done, but thromboembolic disease afterward is now more recognized and therefore being diagnosed more frequently.
https://immattersacp.org/archives/2017/04/splenectomy.htm
1 Apr 2017

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