Search results for "Hypertension"
MKSAP Quiz: Pain in the buttocks region
A 79-year-old man is evaluated for pain in the buttocks region. He has been bedbound at home during lymphoma treatment. He describes the pain as severe when sitting and has difficulty finding a comfortable position lying down as well. He has the least pain when standing, but he is unable to stand for very long. Following a physical exam and discovery of a lesion, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/10/3.htm
10 Jul 2018
New guideline recommends low-dose aspirin for many fewer patients
Changes to the American College of Cardiology/American Heart Association guideline include no longer routinely giving low-dose aspirin for primary prevention to adults older than age 70 years or to younger patients who are not at high risk.
https://immattersacp.org/weekly/archives/2019/03/26/1.htm
26 Mar 2019
MKSAP Quiz: follow-up visit for gout
A 55-year-old man is evaluated during a follow-up visit for gout. Two years ago, he had been treated with allopurinol and developed a hypersensitivity reaction. Over the past several months, he has had recurrent attacks of acute, episodic swelling of the first metatarsophalangeal joints with increasing involvement of other joints, including the ankles and knees. Laboratory studies showed significant hyperuricemia. History is also significant for Crohn disease, hypertension, chronic kidney disease (estimated glomerular filtration rate of 55 mL/min/1.73 m2), and nonalcoholic fatty liver disease. Current medications are diltiazem and azathioprine, which he has been taking for the past 9 months. Which of these is a contraindication to the use of febuxostat in this patient?
https://immattersacp.org/weekly/archives/2017/01/24/3.htm
24 Jan 2017
Cardiology groups issue guidance on heart failure
Among other recommendations, during a hospitalization for heart failure, measurement of a predischarge natriuretic peptide level can be useful to establish prognosis postdischarge.
https://immattersacp.org/weekly/archives/2017/05/02/2.htm
2 May 2017
MKSAP Quiz: Progressive malaise and weakness, aches, and stiffness
A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness. He recently noted aching in his jaw when chewing and reports new left-sided headaches. His erythrocyte sedimentation rate is elevated. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2019/11/26/3.htm
26 Nov 2019
Evaluating alcohol use in ‘Dry January’
With the pandemic's effects on drinking as a backdrop, public health initiatives like “Dry January” may be enticing to patients who want to pause their drinking and examine their habits.
https://immattersacp.org/archives/2022/01/evaluating-alcohol-use-in-dry-january.htm
1 Jan 2022
Osteoarthritis can ease with easy changes
An optimal regimen starting with nonpharmacologic measures can help patients achieve notable relief.
https://immattersacp.org/archives/2021/05/osteoarthritis-can-ease-with-easy-changes.htm
1 May 2021
Weighing benefits, harms of cannabis
Marijuana use has risen, so internists need to understand its real risks as well as its potential clinical uses, such as for chronic pain, chemotherapy-induced nausea and vomiting, and multiple sclerosis spasticity symptoms.
https://immattersacp.org/archives/2019/04/weighing-benefits-harms-of-cannabis.htm
1 Apr 2019
Migraine associated with cardiovascular risks
Higher absolute risks of cardiovascular disease were observed among patients with migraine across most outcomes and follow-up periods during 19 years of follow-up.
https://immattersacp.org/weekly/archives/2018/02/06/4.htm
6 Feb 2018
Breaking barriers to buprenorphine
Despite heightened awareness of the opioid crisis, treatment still eludes many patients who are struggling with addiction.
https://immattersacp.org/archives/2018/09/breaking-barriers-to-buprenorphine.htm
1 Sep 2018