Search results for "Infectious Disease"
Opioids may be associated with increased risk for serious invasive pneumococcal infections
Patients with invasive pneumococcal disease had significantly greater odds than control participants of being current opioid users, and associations were strongest for long-acting opioids, high-potency opioids, and high-dose opioids.
https://immattersacp.org/weekly/archives/2018/02/13/1.htm
13 Feb 2018
New herpes zoster vaccine brings familiar challenges
A new vaccine should be considered the preferred option for prevention of shingles in adults and should be given in place of the existing one, but it brings with it familiar considerations: efficacy, insurance, and patient communication.
https://immattersacp.org/archives/2018/02/new-herpes-zoster-vaccine-brings-familiar-challenges.htm
1 Feb 2018
MKSAP Quiz: 5-day history of a lesion
A 31-year-old woman is evaluated for a 5-day history of a nonpainful cutaneous lesion on the back of her left hand. She works as a packer in a parcel distribution center. She does not recall injury to this area and reports no unusual employment or recreational exposures. She has not had fever, cough, shortness of breath, headache, chest discomfort, or gastrointestinal symptoms. Yesterday, two coworkers were evaluated for similar lesions. Her husband has recently been prescribed an antibiotic after being diagnosed with a “boil” from which methicillin-resistant Staphylococcus aureus was cultured. Her only medication is an oral contraceptive pill. What is the most appropriate management?
https://immattersacp.org/archives/2018/02/mksap-quiz-5-day-history-of-a-lesion.htm
1 Feb 2018
Options vary for acute pain management
This issue covers guidelines on chronic pain, the utility of the bedside exam, and a new shingles vaccination.
https://immattersacp.org/archives/2018/02/options-vary-for-acute-pain-management.htm
1 Feb 2018
MKSAP quiz: Intermittent fever, sweats, fatigue
A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks' duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis were negative. Following a physical exam, lab studies, and chest radiograph, what is the most likely cause of her clinical findings?
https://immattersacp.org/weekly/archives/2018/01/30/3.htm
30 Jan 2018
‘Right-to-try’ laws spark debate
This issue covers the ethics of right-to-try laws in the United States, the potential of ransomware to disrupt a physician's office, and conference coverage from infectious disease and cardiology sessions.
https://immattersacp.org/archives/2018/01/right-to-try-laws-spark-debate.htm
1 Jan 2018
Many med students unprepared as PrEP prescribing increases
Limited knowledge, beliefs, and experiences regarding pre-exposure prophylaxis for HIV have improved among current clinicians, but medical students haven't seen the same experience.
https://immattersacp.org/archives/2018/01/many-med-students-unprepared-as-prep-prescribing-increases.htm
1 Jan 2018
MKSAP Quiz: Follow-up for chronic kidney disease
A 65-year-old man is evaluated during a follow-up visit for stage G3b/A3 chronic kidney disease due to diabetic nephropathy. He reports doing well with good baseline exercise tolerance and no shortness of breath. Medical history is also significant for type 2 diabetes mellitus and hypertension. Medications are basal bolus insulin and lisinopril, 20 mg/d. Following a physical exam, lab tests, and kidney ultrasound, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2017/10/24/3.htm
24 Oct 2017
Assess for noncardiac complications in congenital heart disease survivors, AHA says
Physicians who care for adult patients with congenital heart disease should be mindful of the effects that the condition has on other organs, according to a scientific statement from the American Heart Association.
https://immattersacp.org/weekly/archives/2017/10/17/1.htm
17 Oct 2017
MKSAP Quiz: Follow-up after HIV testing
A 25-year-old man is evaluated in follow-up after HIV testing. He states he has sex with other men and usually uses condoms. He had a negative HIV test result 1 year ago. He feels well today but reports having a flulike illness last week with mild fever, headache, myalgias, and fatigue; these symptoms have resolved. Following a physical exam and immunoassays, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/10/17/3.htm
17 Oct 2017