Search results for "Kidney disease"
MKSAP Quiz: Follow-up for elevated serum creatinine level
A 35-year-old man is evaluated during a follow-up visit for an elevated serum creatinine level discovered during a recent hospitalization for cellulitis of the right lower leg. He is a migratory agricultural worker. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/21/3.htm
21 Sep 2021
PCP follow-up after surgery associated with lower readmission rates
Medicare beneficiaries hospitalized for an emergency general surgery condition had a 67% lower adjusted risk for readmission if they had a follow-up appointment with a primary care physician (PCP) within 30 days of discharge.
https://immattersacp.org/weekly/archives/2023/10/03/4.htm
3 Oct 2023
Guideline recommends allopurinol as first-line therapy for gout
The American College of Rheumatology noted that the drug is the preferred choice for urate-lowering therapy in all patients, including those with moderate to severe chronic kidney disease.
https://immattersacp.org/weekly/archives/2020/05/19/4.htm
19 May 2020
New trials provide data to improve medication management in hypertension
A U.K. study compared morning versus evening dosing of antihypertensive drugs, a U.S. study looked at optimal dosing in patients with proteinuria, and a trial in Spain tested self-titration in patients with poorly controlled hypertension.
https://immattersacp.org/weekly/archives/2022/10/18/6.htm
18 Oct 2022
MKSAP Quiz: Evaluation for influenza immunization
A 49-year-old man is evaluated for influenza immunization. Two weeks ago, he underwent surgical resection for stage III colon cancer. He will begin a 3-month course of adjuvant chemotherapy in 3 weeks. What is the preferred influenza immunization strategy?
https://immattersacp.org/weekly/archives/2022/05/24/3.htm
24 May 2022
MKSAP Quiz: Evaluation of an elevated serum creatinine level
A 71-year-old man is evaluated in the hospital for an elevated serum creatinine level. He was hospitalized 2 days ago for a 4-day history of progressive right lower leg cellulitis. History is also significant for type 2 diabetes mellitus with prior episodes of cellulitis. Following a physical exam, lab studies, and a kidney biopsy, what is the most likely cause of this patient's kidney disease?
https://immattersacp.org/weekly/archives/2020/08/11/3.htm
11 Aug 2020
MKSAP Quiz: Preconception counseling
This week's quiz asks readers to determine the appropriate management for a 28-year-old woman with hypertension who is seeking preconception counseling.
https://immattersacp.org/weekly/archives/2022/01/11/3.htm
11 Jan 2022
Meta-analysis compares mortality benefits of heart failure treatment combinations
Patients taking an angiotensin receptor-neprilysin inhibitor, beta-blocker, mineralocorticoid receptor antagonist, and sodium-glucose cotransporter-2 inhibitor showed the greatest reduction in risk of death, the analysis of heart failure with reduced ejection fraction found.
https://immattersacp.org/weekly/archives/2021/12/14/4.htm
14 Dec 2021
Cardiovascular events similar, adverse effects worse with chlorthalidone compared to hydrochlorothiazide
Chlorthalidone was associated with a significantly higher risk of hypokalemia, hyponatremia, acute renal failure, chronic kidney disease, type 2 diabetes, and abnormal weight gain.
https://immattersacp.org/weekly/archives/2020/02/25/2.htm
25 Feb 2020
Apixaban associated with lower risk of GI bleeding compared to other DOACs
Apixaban users experienced similar rates of ischemic stroke or systemic embolism, intracranial hemorrhage, and all-cause mortality as patients taking other direct oral anticoagulants (DOACs), a retrospective analysis found.
https://immattersacp.org/weekly/archives/2022/11/01/1.htm
1 Nov 2022