Search results for "Hypertension"
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: 3-month history of gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following physical and abdominal exams, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/08/09/3.htm
9 Aug 2016
MKSAP Quiz: Incidentally discovered adrenal mass
A 62-year-old woman is evaluated for an incidentally discovered left adrenal mass. Two weeks ago, the patient was evaluated in the emergency department for diffuse abdominal pain and vomiting. A CT scan was obtained that was normal except for the adrenal mass. Her medical history is significant for diet-controlled type 2 diabetes mellitus diagnosed 1 year ago and osteoporosis diagnosed 4 years ago. Following a physical exam and lab studies, in addition to screening tests for pheochromocytoma, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/12/12/3.htm
12 Dec 2017
New guidance urges caution on testosterone
Internists considering testosterone therapy are ideally positioned to consider a broader differential diagnosis that will actually help the patient.
https://immattersacp.org/archives/2020/05/new-guidance-urges-caution-on-testosterone.htm
1 May 2020
MKSAP Quiz: Evaluation for primary hyperparathyroidism
A 67-year-old man is evaluated for a recent diagnosis of primary hyperparathyroidism after an elevated serum calcium level was incidentally detected on laboratory testing. Medical history is significant only for hypertension, and his only medication is ramipril. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2017/02/14/3.htm
14 Feb 2017
Success with STIs causes complacency
Progress made in combating HIV has caused people to feel a greater sense of security around sex and less worry about bacterial sexually transmitted infections.
https://immattersacp.org/archives/2020/04/success-with-stis-causes-complacency.htm
1 Apr 2020
MKSAP Quiz: Painless intermittent bloody urine
A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks' duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for 3 years and oral cyclophosphamide for 1 year. Following a physical exam, lab studies, and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/06/12/3.htm
12 Jun 2018
Quarter-dose combinations of antihypertensive meds appear safe, effective versus placebo, standard doses
Low-dose antihypertensive regimens could have a broader role in clinical practice, as they yield similar reductions in blood pressure but are better tolerated.
https://immattersacp.org/weekly/archives/2017/06/13/4.htm
13 Jun 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: 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