Search results for "Hypertension"
MKSAP Quiz: progressive exertional fatigue and dyspnea
A 77-year-old man with a 5-year history of idiopathic cardiomyopathy is evaluated for progressive exertional fatigue and dyspnea. He has recently stopped carrying groceries in from the car because of his exertional dyspnea. He had an implantable cardioverter-defibrillator placed 3 years ago. Medical history is also significant for hypertension. Medications are lisinopril, 40 mg/d; metoprolol succinate, 25 mg/d; furosemide, 40 mg/d; and spironolactone, 25 mg/d. Following a physical exam and electrocardiogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/01/31/3.htm
31 Jan 2017
Telemedicine connects remote areas with care
Modern medicine is dramatically cutting the distance that patients must travel, even for severe injuries. Consulting by telemedicine reduces delays, improves patient outcomes and brings health care to areas that otherwise wouldn't have it.
https://immattersacp.org/archives/2008/04/one.htm
1 Apr 2008
MKSAP Quiz: 4-month history of progressive dyspnea, fatigue
A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol, spironolactone, and lactulose. Following a physical exam, lab tests, and scans, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/03/22/3.htm
22 Mar 2016
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
Uncover trauma to treat patients efficiently
Uncovering past trauma in a patient's life can help steer the physician toward treatment of current health problems.
https://immattersacp.org/archives/2023/04/uncover-trauma-to-treat-patients-efficiently.htm
1 Apr 2023
Letters to the Editor
Readers react to ACP Internist's coverage, offering more resources for alcohol screening and ways to rethink first-line treatment for hypertension.
https://immattersacp.org/archives/2013/04/letters.htm
1 Apr 2013
Bringing medicine to the streets
A newly formed street medicine fellowship is allowing academic centers and cities to bring care to homeless patients instead of waiting for them to present to a hospital or shelter.
https://immattersacp.org/archives/2019/07/bringing-medicine-to-the-streets.htm
1 Jul 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
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2021/11/latest-updates-on-acps-priorities-initiatives.htm
1 Nov 2021
Pandemic pinpoints racial, ethnic disparities
Disparities in outcomes created by COVID-19 have exposed long-standing gaps in health care, and in a larger sense, the fabric of the social safety net.
https://immattersacp.org/archives/2020/09/pandemic-pinpoints-racial-ethnic-disparities.htm
1 Sep 2020