Search results for "Hypertension"

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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?
24 Nov 2020

MKSAP Quiz: Abdominal aortic aneurysm found during routine examination

A 69-year-old man is evaluated during a routine examination. He is asymptomatic. Medical history is significant for hypertension. On physical examination, vital signs are normal. A bruit is heard over the abdomen, and a pulsatile mass is present in the epigastrium. What is the most appropriate next step in management?
31 Mar 2020

MKSAP Quiz: Right-upper-quadrant abdominal discomfort

A 36-year-old woman is evaluated for a 3-day history of constant right-upper-quadrant abdominal discomfort and abdominal distention. She has no significant medical history. Following a physical exam and lab tests, what is the most appropriate diagnostic test to perform next?
19 Oct 2021

MKSAP Quiz: 1-month history of diminished concentration

A 57-year-old woman is hospitalized with a 1-month history of diminished concentration, memory, and judgment, with recent mental status fluctuations and gait disorder. Medical history is remarkable for hypertension. After a physical exam, lab studies, and brain MRI, what is the most likely diagnosis?
12 May 2020

MKSAP Quiz: A 3-year history of decline in cognition

A 60-year-old man is evaluated for a 3-year history of gradual, progressive decline in his cognition, behavior, and motor skills. Following a physical exam, MRI, and neuropsychological testing, what is the most likely diagnosis?
28 Sep 2021

Patients with atrial fibrillation likely to underestimate bleeding risks of anticoagulants

Women were significantly less likely than men to underestimate their bleeding risk, and a history of bleeding was associated with a threefold increased likelihood of inaccurate perception of bleeding risk, according to a study of atrial fibrillation patients.
24 Aug 2021

MKSAP Quiz: 6 months of exertional dyspnea

A 46-year-old man is evaluated for 6 months of exertional dyspnea, fatigue, and ankle edema. Recently he experienced near-syncope walking up two flights of stairs. He has no other medical problems and takes no medications. Following a physical exam, transthoracic echocardiogram, and other tests, what is the most appropriate treatment?
9 Jun 2020

Scientific statement addresses primary care's role in poststroke care

Effective communication by primary care clinicians can improve adherence to necessary interventions after stroke, boost patient motivation, and reduce barriers to care, the American Heart Association and American Stroke Association advised.
27 Jul 2021

Systolic, diastolic blood pressures show independent effects on MI, stroke risk

Although systolic blood pressure was the more significant factor, the finding that both measures independently predict adverse outcomes suggests that diastolic pressure should not be ignored, study authors said.
23 Jul 2019

New studies analyze risk factors, treatments for afib

One study found that early rhythm control was better than rate control for low-risk patients, another found that age at menarche and menopause was associated with afib risk, and another indicated that women's lower risk for afib is due to their smaller body size compared with men.
6 Sep 2022

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