Search results for "Hypertension"
Inappropriate medications prescribed in some Medicare patients with CKD, study finds
Over a third of patients with chronic kidney disease (CKD) enrolled in a Medicare plan's Medication Therapy Management program in 2018 received a prescription for at least one potentially inappropriate medication.
https://immattersacp.org/weekly/archives/2021/02/02/5.htm
2 Feb 2021
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
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?
https://immattersacp.org/weekly/archives/2020/03/31/3.htm
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?
https://immattersacp.org/weekly/archives/2021/10/19/3.htm
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?
https://immattersacp.org/weekly/archives/2020/05/12/3.htm
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?
https://immattersacp.org/weekly/archives/2021/09/28/3.htm
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.
https://immattersacp.org/weekly/archives/2021/08/24/2.htm
24 Aug 2021
MKSAP quiz: Evaluation during a routine examination
A 59-year-old man is evaluated during a routine examination. He feels well and has no symptoms. Medical history is significant for hypertension. On physical examination, the patient is afebrile, blood pressure is 122/74 mm Hg, and pulse rate is 76/min. Cardiac examination is unremarkable. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/12/17/3.htm
17 Dec 2019
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?
https://immattersacp.org/weekly/archives/2020/06/09/3.htm
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.
https://immattersacp.org/weekly/archives/2021/07/27/2.htm
27 Jul 2021