Search results for "Kidney disease"
New recommendations advise on adding SGLT-2 inhibitors and GLP-1 receptor agonists
A new guideline from The BMJ strongly recommends sodium-glucose cotransporter-2 (SGLT-2) inhibitors for patients with diabetes and established cardiovascular and chronic kidney disease, among other advice.
https://immattersacp.org/weekly/archives/2021/05/18/4.htm
18 May 2021
MKSAP Quiz: 6-month history of fatigue, joint and chest pain, sun sensitivity
A 25-year-old woman is evaluated for a 6-month history of fatigue, joint pain, sun sensitivity, and pleuritic chest pain. Medications are an oral contraceptive pill and as-needed naproxen. Following a physical exam and other lab results, what is the most appropriate test?
https://immattersacp.org/archives/2024/01/mksap-quiz-6-month-history-of-fatigue-joint-and-chest-pain-sun-sensitivity.htm
1 Jan 2024
Diltiazem may increase bleeding risk when coadministered with DOACs in afib
A study of patients with atrial fibrillation in one U.S. health system found a 56% higher risk for bleeding-related hospitalization associated with concomitant use of diltiazem and a direct-acting oral anticoagulant (DOAC) versus a DOAC alone.
https://immattersacp.org/weekly/archives/2022/07/12/5.htm
12 Jul 2022
GLP-1 receptor agonists may offer kidney protection in patients with type 2 diabetes
An industry-conducted pooled analysis of two large trials of glucagon-like peptide-1 (GLP-1) receptor agonists found that both semaglutide and liraglutide slowed kidney function decline, with semaglutide appearing to have the greatest effect.
https://immattersacp.org/weekly/archives/2021/12/21/2.htm
21 Dec 2021
MKSAP Quiz: Evaluation of gynecomastia
A 29-year-old man is evaluated for gynecomastia present for the past 2 years. He also has fatigue, low libido, weight gain, and erectile dysfunction. Following a physical exam, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2023/02/28/3.htm
28 Feb 2023
MKSAP Quiz: Recently identified monoclonal protein
A 61-year-old woman is seen in consultation regarding a recently identified monoclonal protein. Medical history is notable for rheumatoid arthritis that has been stable for several years. Following a physical exam and lab tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/03/3.htm
3 Jan 2023
MKSAP Quiz: 2-week history of fatigue, poor appetite, arthralgia, and rash
A 19-year-old woman is evaluated for a 2-week history of fatigue, poor appetite, arthralgia of the hands and knees, and a rash, all of which appeared 1 day after a beach trip. After physical exam, lab studies, and kidney ultrasound, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2023/01/17/3.htm
17 Jan 2023
Race-adjusted eGFR may negatively affect CKD care in African American patients
A cross-sectional registry study found that one-third of African American patients with chronic kidney disease (CKD) would hypothetically be reclassified to a more severe stage if the race multiplier were removed from a common estimated glomerular filtration rate (eGFR) equation.
https://immattersacp.org/weekly/archives/2020/10/27/4.htm
27 Oct 2020
MKSAP Quiz: Follow-up for diabetes, hyperlipidemia, hypertension
A 68-year-old man is evaluated during a routine follow-up visit. Medical history is significant for type 2 diabetes mellitus, hyperlipidemia, hypertension, and aortofemoral bypass surgery 2 years ago. Following a physical exam, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2022/11/15/3.htm
15 Nov 2022
MKSAP Quiz: Oral dryness without ocular dryness
A 57-year-old woman is evaluated for fatigue, generalized achiness, and oral dryness without ocular dryness. Following a physical exam and lab studies, what is the most likely cause of this patient's oral dryness?
https://immattersacp.org/weekly/archives/2022/11/08/3.htm
8 Nov 2022