Search results for "Guidelines"
MKSAP Quiz: Left-sided facial weakness
A 36-year-old woman is evaluated for left-sided facial weakness. Over the last 10 days she has developed progressive weakness on the left side of her face, which is apparent with eye closure, smiling, and chewing. She has also reduced tearing and diplopia. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/10/18/3.htm
18 Oct 2022
New trials provide data to improve medication management in hypertension
A U.K. study compared morning versus evening dosing of antihypertensive drugs, a U.S. study looked at optimal dosing in patients with proteinuria, and a trial in Spain tested self-titration in patients with poorly controlled hypertension.
https://immattersacp.org/weekly/archives/2022/10/18/6.htm
18 Oct 2022
Obesity prevalence varies significantly among Asian American subgroups
Overall, Asian Americans had a 11.7% obesity prevalence, but rates varied from as high as 16.8% in Filipino Americans and 15.3% in Japanese Americans to 6.5% in Chinese Americans and 6.3% in Vietnamese Americans.
https://immattersacp.org/weekly/archives/2022/10/04/4.htm
4 Oct 2022
Is mastering coding worth the time?
While Medicare has added new codes to increase the reimbursement available to primary care practices, they can be difficult to implement and may not align with the integrated flow of a visit.
https://immattersacp.org/archives/2022/10/is-mastering-coding-worth-the-time.htm
1 Oct 2022
Continuing anti-TNF therapy in pregnancy appears beneficial for patients with IBD
A French target trial emulation, which refers to the use of observational data to mimic a randomized controlled trial, found that maternal relapse of inflammatory bowel disease (IBD) and premature births were less common when patients continued anti-tumor necrosis factor (anti-TNF) therapy after 24 weeks of pregnancy than when the drugs were discontinued.
https://immattersacp.org/weekly/archives/2022/09/27/1.htm
27 Sep 2022
MKSAP Quiz: Preparticipation physical examination for sports
An 18-year-old man is evaluated during a preparticipation physical examination for his college soccer team. He is asymptomatic. He describes no limitation in his exercise capacity. Following a physical exam, what is the most appropriate test to perform?
https://immattersacp.org/weekly/archives/2022/09/20/3.htm
20 Sep 2022
MKSAP Quiz: Genetic consult for breast cancer risk
A 29-year-old woman requests advice after receipt of a direct-to-consumer genetic test result that included BRCA gene analysis. She has no breast symptoms and has not undergone any previous breast cancer screening. Following a physical exam and other findings, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/09/13/3.htm
13 Sep 2022
Advance care planning: Administration and reimbursement
Advance care planning conversations should happen before critical illness or hospitalization occurs, and Medicare can reimburse physician time spent on them.
https://immattersacp.org/archives/2022/09/advance-care-planning-administration-and-reimbursement.htm
1 Sep 2022
Treatment pathways compared for diabetic peripheral neuropathy
Amitriptyline supplemented with pregabalin, pregabalin supplemented with amitriptyline, and duloxetine supplemented with pregabalin were similarly effective for controlling pain, a recent study found.
https://immattersacp.org/weekly/archives/2022/08/30/2.htm
30 Aug 2022
Latest COVID-19 research on VTE risk, treatment with metformin, ivermectin, fluvoxamine
Unvaccinated patients may have higher risk of venous thromboembolism (VTE) when mildly ill, one study found, while another showed no effect from metformin, ivermectin, or fluvoxamine. Research supported the safety of the mRNA vaccines, and the NIH updated its treatment guidelines.
https://immattersacp.org/weekly/archives/2022/08/23/4.htm
23 Aug 2022