Search results for "Hypertension"
MKSAP Quiz: 1-year history of weight gain, fatigue, easy bruising
A 48-year-old woman who works the night shift presents with a one-year history of gaining 25 pounds, as well as fatigue, easy bruising, and difficulty remembering things. Medical history is significant for hypertension, type 2 diabetes, and menopausal hot flushes. After medication review and physical exam, what is the most appropriate next step in evaluation?
https://immattersacp.org/weekly/archives/2020/12/15/3.htm
15 Dec 2020
MKSAP Quiz: Managing a congenital heart defect in an adult
A 24-year-old woman diagnosed with a ventricular septal defect at age 7 months undergoes routine examination. The S1 and S2 are masked by a loud holosystolic murmur noted at the left lower sternal border. A transthoracic echocardiogram demonstrates a membranous ventricular septal defect with a small left-to-right shunt. After review of additional results from cardiac testing, what is the appropriate management?
https://immattersacp.org/weekly/archives/2020/11/24/3.htm
24 Nov 2020
Home BP monitoring works, but not as well alone
Home blood pressure monitoring needs to be combined with other interventions and the data collected must be used to engage the patient in some way to have the greatest effect.
https://immattersacp.org/archives/2020/11/home-bp-monitoring-works-but-not-as-well-alone.htm
1 Nov 2020
‘Gold standard’ underused for substance misuse
While effective medications to treat opioid addiction are available in primary care, few physicians prescribe buprenorphine or naltrexone, and few would obtain the Drug Enforcement Administration (DEA) waiver to prescribe buprenorphine.
https://immattersacp.org/archives/2020/11/gold-standard-underused-for-substance-misuse.htm
1 Nov 2020
Providing preventive care in a pandemic
This issue also covers medication for opioid use disorders, physicians as caregivers, and home blood pressure monitoring.
https://immattersacp.org/archives/2020/11/providing-preventive-care-in-a-pandemic.htm
1 Nov 2020
MKSAP Quiz: 4-week history of dyspnea on exertion
A 54-year-old woman is evaluated for a 4-week history of dyspnea on exertion, malaise, fatigue, and anorexia. History is significant for hypertension, gout, and osteoarthritis. Following a physical exam, lab studies, and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/10/27/3.htm
27 Oct 2020
Regular use of PPIs linked to increased risk of type 2 diabetes
In an analysis of the Nurses' Health and Health Professionals studies, regular users of proton-pump inhibitors (PPIs) had a 24% higher risk of diabetes than nonusers, with longer duration of use associated with greater risk.
https://immattersacp.org/weekly/archives/2020/10/06/6.htm
6 Oct 2020
Intensive hypertension treatment associated with lower risk for orthostatic hypotension
Orthostatic hypotension should not be viewed as a reason to avoid or de-escalate hypertension treatments, according to the authors of a new systematic review of hypertension treatment trials.
https://immattersacp.org/weekly/archives/2020/09/15/2.htm
15 Sep 2020
MKSAP Quiz: Midsystolic ejection click and systolic murmur
A 54-year-old man is evaluated during a routine examination. He is asymptomatic, and he exercises regularly without any limitations. Cardiac examination reveals a midsystolic ejection click and a grade 2/6 crescendo-decrescendo systolic murmur at the second right intercostal space. Following a transthoracic echocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/09/15/3.htm
15 Sep 2020
SSRIs associated with remission of depression following intracerebral hemorrhage
Selective serotonin reuptake inhibitors (SSRIs) were associated with remission of depression following an intracerebral hemorrhage (ICH), but also higher risk of ICH recurrence in patients with pre-existing clinical, genetic, or neuroimaging risk factors for hemorrhagic stroke.
https://immattersacp.org/weekly/archives/2020/09/01/6.htm
1 Sep 2020