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MKSAP Quiz: 1-month history of diminished concentration

A 57-year-old woman is hospitalized with a 1-month history of diminished concentration, memory, and judgment, with recent mental status fluctuations and gait disorder. Medical history is remarkable for hypertension. After a physical exam, lab studies, and brain MRI, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/05/12/3.htm
12 May 2020

MKSAP Quiz: Fatigue, anorexia, and myalgia

A 68-year-old woman is hospitalized with fatigue, anorexia, and myalgia worsening over the last week. She underwent laparotomy 4 weeks ago for trauma sustained in a motor vehicle accident, which necessitated a splenectomy. She received 3 units of blood. Which of the following transfusion-transmitted diseases is the most likely diagnosis?
https://immattersacp.org/archives/2020/05/mksap-quiz-fatigue-anorexia-myalgia.htm
1 May 2020

Managing HIV with testing, prevention

Antiretroviral therapy has made an impact in treating HIV, but preexposure prophylaxis has created a huge opportunity in preventing infection, with internists poised to play a role.
https://immattersacp.org/archives/2020/03/managing-hiv-with-testing-prevention.htm
1 Mar 2020

New cardiac warning for fluoroquinolones

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/02/new-cardiac-warning-for-fluoroquinolones.htm
1 Feb 2019

New warning on SGLT2 inhibitors, REMS approved

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/11/new-warning-on-sglt2-inhibitors-rems-approved.htm
1 Nov 2018

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

Bringing medicine back to the bedside

The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018

Headaches that should flag further attention

Every patient with a headache needs to have secondary causes ruled out, and the acronym SNOOP4 is easy to adopt and use.
https://immattersacp.org/archives/2018/01/headaches-that-should-flag-further-attention.htm
1 Jan 2018

A good month to raise the rates

There are several important revisions for adult immunizations, including not using the live attenuated influenza vaccine for the 2017-2018 flu season.
https://immattersacp.org/archives/2017/10/a-good-month-to-raise-the-rates.htm
1 Oct 2017

After splenectomy, clots join infection as potential risks

Fewer splenectomies are being done, but thromboembolic disease afterward is now more recognized and therefore being diagnosed more frequently.
https://immattersacp.org/archives/2017/04/splenectomy.htm
1 Apr 2017

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