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Sort by: Relevance | Newest | OldestMKSAP Quiz: Routine visit for a patient with chronic kidney disease
A 45-year-old man is evaluated during a routine visit in September. He has advanced chronic kidney disease due to IgA nephropathy. After his vaccination history is evaluated, what is the most appropriate additional vaccine to administer at this visit?
https://immattersacp.org/weekly/archives/2023/07/18/3.htm
18 Jul 2023
MKSAP Quiz: 2-month history of edema
A 28-year-old man is evaluated for a 2-month history of progressive lower-extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. He has no other known medical issues and takes no medications. Following a physical exam, lab studies, and kidney analysis, what test is most likely to establish the cause of this patient's focal segmental glomerulosclerosis?
https://immattersacp.org/weekly/archives/2018/02/06/3.htm
6 Feb 2018
Bringing medicine to the streets
A newly formed street medicine fellowship is allowing academic centers and cities to bring care to homeless patients instead of waiting for them to present to a hospital or shelter.
https://immattersacp.org/archives/2019/07/bringing-medicine-to-the-streets.htm
1 Jul 2019
MKSAP Quiz: follow-up for elevated liver chemistry tests
A 42-year-old man is evaluated in follow-up for elevated liver chemistry tests. Abdominal ultrasound reveals increased hepatic echotexture consistent with hepatic steatosis. Hepatic configuration is otherwise normal. In addition to weight loss, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2012/11/06/3.htm
6 Nov 2012
MKSAP Quiz: 3-month history of swelling of the face, hands, and feet
A 53-year-old woman is evaluated for a 3-month history of swelling of the face, hands, and feet. She has untreated hepatitis C virus infection. She takes lithium for bipolar disorder. She has no additional symptoms. After a physical exam, lab results and kidney biopsy, what is the most likely cause of this patient's nephrotic syndrome?
https://immattersacp.org/weekly/archives/2015/05/19/3.htm
19 May 2015
Warnings about topical antiseptics, nuclear stress test agents
This regulatory update covers label and packaging changes to over-the-counter topical antiseptic products due to infection risk and approval of the first generic versions of rabeprazole sodium for gastroesophageal reflux disease.
https://immattersacp.org/archives/2014/02/fda.htm
1 Feb 2014
Taking a drink: what patients should know
Alcohol is associated with so many benefits and harms that it's hard to know where to start talking to patients about using it. One place might be alcohol misuse and abuse. Teach patients where they fall on the continuum of drinking behavior.
https://immattersacp.org/archives/2013/01/alcohol.htm
1 Jan 2013
Managing medication adherence
That most nonadherent patients are willfully rejecting doctors' orders might seem shocking. But physicians have to accept it in order to encourage patients to accept their advice. Digital health tools may offer potential aids in solving matters of adherence.
https://immattersacp.org/archives/2017/03/adherence.htm
1 Mar 2017
ACP, CDC issue best practice advice on HBV
Clinicians should screen for hepatitis B virus (HBV) in patients at high risk, such as those born in countries where the HBV prevalence is 2% or higher, men who have sex with men, patients who require immunosuppressive therapy, or patients with end-stage renal disease.
https://immattersacp.org/weekly/archives/2017/11/21/1.htm
21 Nov 2017
Primary care integral to new national viral hepatitis action plan
Experts hope a new plan launched in May by the U.S. Department of Health and Human Services will target hepatitis from a number of fronts, including education, treatment and prevention, and increasing the training of clinicians to diagnose and treat hepatitis and immunize patients.
https://immattersacp.org/archives/2011/09/hepatitis.htm
1 Sep 2011