Search results for "Knee pain"
MKSAP Quiz: gradually progressive knee pain
A 52-year-old man is evaluated for a 5-year history of gradually progressive left knee pain. He has 20 minutes of morning stiffness, which returns after prolonged inactivity. He has minimal to no pain at rest. He reports no clicking or locking of the knee. Over the past several months, the pain has limited his ambulation to no more than a few blocks. Following a physical exam and radiograph, what is the most appropriate next diagnostic step?
https://immattersacp.org/weekly/archives/2013/04/23/3.htm
23 Apr 2013
MKSAP Quiz: 3-month history of left knee pain
A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. Following a physical exam, lab results and a radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2013/12/17/3.htm
17 Dec 2013
MKSAP Quiz: 3-month history of left knee pain
A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. The patient has hypertension, hypercholesterolemia, and chronic stable angina. Medications are lisinopril, metoprolol, simvastatin, low-dose aspirin, and nitroglycerin as needed. Following a physical exam, lab results and radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/04/01/3.htm
1 Apr 2014
MKSAP Quiz: 2-year history of knee osteoarthritis
A 64-year-old man is evaluated for a 2-year history of knee osteoarthritis. He has bilateral knee pain that worsens with walking. He has tried topical therapies, physical therapy, and acetaminophen, none of which has provided relief. The patient also has peripheral vascular disease, hyperlipidemia, and hypertension. Medications are hydrochlorothiazide, pravastatin, and a daily aspirin. Following a physical exam, lab results, and radiographs of the knees, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2014/06/17/3.htm
17 Jun 2014
Arthroscopic surgery may not help degenerative meniscal tears
Arthroscopic surgery may have little or no benefit for degenerative tears of the meniscus, according to a new study.
https://immattersacp.org/weekly/archives/2014/09/09/4.htm
9 Sep 2014
Sussing out sleep apnea disorders
Given the prevalence of poor sleep habits, determining sleep apnea can be difficult during a time-pressed visit. Asking the rights questions is key.
https://immattersacp.org/archives/2015/03/apnea.htm
1 Mar 2015
Arthroscopic surgery may not benefit patients with degenerative knee disease
Arthroscopic surgery for degenerative knee disease yields “small inconsequential benefit” in middle-aged and older adults and is associated with harms, the authors noted.
https://immattersacp.org/weekly/archives/2015/06/23/1.htm
23 Jun 2015
MKSAP Quiz: 55-year-old man during a routine examination
This week's quiz asks readers to evaluate a man with a family history of hereditary hemochromatosis who drinks six to eight cans of beer per night.
https://immattersacp.org/weekly/archives/2015/08/18/3.htm
18 Aug 2015
Knee buckling associated with increased risk for recurrent falls in older adults
The researchers noted that determining effective treatments for knee instability should be an important priority as clinicians care for aging patients.
https://immattersacp.org/weekly/archives/2016/02/09/2.htm
9 Feb 2016
Noninvasive treatment almost always best for knee pain
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
https://immattersacp.org/archives/2016/04/knees.htm
1 Apr 2016