Search results for "Kidney disease"
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
Subclinical eGFR associated with cardiovascular disease in younger patients
A retrospective cohort study in Canada found that the relative risk for major cardiovascular events with or without heart failure increased in adults ages 18 to 39 years with an eGFR below 80 mL/min/1.73 m2.
https://immattersacp.org/weekly/archives/2023/09/19/2.htm
19 Sep 2023
Physicians report moral distress over ‘emergency-only’ hemodialysis for undocumented immigrants
Clinicians reported emotional and physical exhaustion, as well as being troubled by witnessing unnecessary suffering and high mortality.
https://immattersacp.org/weekly/archives/2018/05/22/4.htm
22 May 2018
Anticonvulsant may increase mortality risk when coprescribed with opioids
An association was found between concomitant exposure to pregabalin in the preceding 120 days and significantly increased odds of opioid-related death versus exposure to opioids alone, a study found.
https://immattersacp.org/weekly/archives/2018/08/21/4.htm
21 Aug 2018
A can't-miss cause of resistant hypertension
More than 20% of patients with resistant hypertension have primary aldosteronism, an underrecognized cause of hypertension and cardiovascular disease.
https://immattersacp.org/archives/2021/05/a-cant-miss-cause-of-resistant-hypertension.htm
1 May 2021
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/2022/02/latest-updates-on-acps-priorities-initiatives.htm
1 Feb 2022
MKSAP Quiz: Routine follow-up visit and hepatitis B
A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatitis B infection. Her hepatitis B infection has been treated with tenofovir for the past 5 years with suppression of her serum hepatitis B DNA levels. Following a physical exam and lab studies, what is the most likely cause of this patient's kidney findings?
https://immattersacp.org/weekly/archives/2018/07/31/3.htm
31 Jul 2018
MKSAP Quiz: Pain in the buttocks region
A 79-year-old man is evaluated for pain in the buttocks region. He has been bedbound at home during lymphoma treatment. He describes the pain as severe when sitting and has difficulty finding a comfortable position lying down as well. He has the least pain when standing, but he is unable to stand for very long. Following a physical exam and discovery of a lesion, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/10/3.htm
10 Jul 2018
Diagnosis at 10 paces for bitemporal wasting
In a new series, Pearls from I.M. Peers, Paul Dallas, MD, MACP, explains how making a simple observation in a patient could indicate a serious diagnosis.
https://immattersacp.org/archives/2022/01/diagnosis-at-10-paces-for-bitemporal-wasting.htm
1 Jan 2022
Subjects sought for study of chronic kidney disease in adult type 2 diabetes patients
The National Kidney Foundation is looking for primary care physicians and their patients to participate in a multi-site cross-sectional study to estimate the prevalence of chronic kidney disease in adult type 2 diabetes patients.
https://immattersacp.org/weekly/archives/2011/06/21/12.htm
21 Jun 2011