Search results for "Hypertension"
MKSAP Quiz: 8-week history of postprandial abdominal pain
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022
Paternal metformin use associated with major birth defects
A prospective registry-based study in Denmark found that offspring of men who filled one or more prescriptions for metformin during the three months of developing fertilizing sperm were more likely to have a birth defect, while insulin and sulfonylureas were not associated with increased risk.
https://immattersacp.org/weekly/archives/2022/03/29/2.htm
29 Mar 2022
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
MKSAP Quiz: 1 week of urinary incontinence
An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever, or back pain. Medical history is significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. Her only medication is amlodipine. Following a physical exam and urine dipstick result, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/24/3.htm
24 Jul 2018
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
AHA releases scientific statement on cardiovascular health in African-American patients
Obesity, hypertension, and diabetes generally occur earlier in African-American patients than in white patients, and adverse health behaviors may partly explain the higher burden of risk factors for cardiovascular disease.
https://immattersacp.org/weekly/archives/2017/10/31/4.htm
31 Oct 2017
MKSAP Quiz: Routine follow-up visit and hepatitis B
A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatitis B infection. Her hepatitis B infection has been treated with tenofovir for the past 5 years with suppression of her serum hepatitis B DNA levels. Following a physical exam and lab studies, what is the most likely cause of this patient's kidney findings?
https://immattersacp.org/weekly/archives/2018/07/31/3.htm
31 Jul 2018
MKSAP Quiz: Routine visit for HIV
A 44-year-old man is evaluated in the office during a routine visit. Medical history is significant for HIV diagnosed at age 25 years, hypertension, and hyperlipidemia. He is a current smoker. Following a physical exam, cardiac exam, and lab tests, what risk factors will result in underestimation of the risk for atherosclerotic cardiovascular disease in this patient?
https://immattersacp.org/weekly/archives/2019/03/19/3.htm
19 Mar 2019
Meta-analysis finds no association between beta-blocker therapy, depression
Beta-blockers did not appear to affect depression or other psychiatric adverse events, with the possible exception of sleep-related disorders, a recent study found.
https://immattersacp.org/weekly/archives/2021/03/23/5.htm
23 Mar 2021
MKSAP Quiz: COPD evaluated during a routine visit
A 66-year-old man with a history of COPD is evaluated during a routine visit. He is able to walk one flight of stairs and one block before he develops dyspnea. He was last treated for two acute exacerbations of COPD within the last year, one of which required hospitalization. Following a physical exam and other tests, what patient characteristics place him at highest risk for a recurrent acute exacerbation?
https://immattersacp.org/weekly/archives/2021/03/09/3.htm
9 Mar 2021