Search results for "Nephrology"
MKSAP Quiz: evaluation for acute kidney injury
A 57-year-old man is evaluated for a diagnosis of acute kidney injury. He was diagnosed with gastroesophageal reflux disease 3 weeks ago and was prescribed omeprazole. Several days ago he noticed lower extremity swelling and decreased frequency of urination. Laboratory evaluation showed a serum creatinine level of 2.2 mg/dL (194.5 µmol/L). Medical history is otherwise unremarkable. Following a physical exam and discontinuing omeprazole, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/09/13/3.htm
13 Sep 2016
MKSAP Quiz: fatigue, anorexia, polyuria, and nocturia
A 54-year-old woman is evaluated for fatigue, anorexia, polyuria, and nocturia of several weeks' duration. She had otherwise felt well until the onset of her current symptoms. Medical history is significant for autoimmune pancreatitis diagnosed 1 year ago, treated with a prednisone taper that was completed 8 months ago with resolution of her symptoms. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/06/14/3.htm
14 Jun 2016
Masked hypertension common in CKD, especially with elevated nighttime blood pressure
Masked hypertension occurs commonly in patients with chronic kidney disease and is associated with lower estimated glomerular filtration rate, proteinuria, and cardiovascular target organ damage.
https://immattersacp.org/weekly/archives/2016/03/01/3.htm
1 Mar 2016
NKF-ASN task force issues final report on use of race in diagnosing kidney disease
Effective immediately in the U.S., estimated glomerular filtration rate should be calculated with an updated equation that does not include a race modifier for Black patients, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) said.
https://immattersacp.org/weekly/archives/2021/09/28/2.htm
28 Sep 2021
Weight loss, MOC featured in meeting coverage
This issue covers the wrap-up of news from Internal Medicine Meeting 2017.
https://immattersacp.org/archives/2017/06/editors.htm
1 Jun 2017
MKSAP Quiz: evaluation for elevated blood pressure
A 54-year-old man is evaluated for elevated blood pressure noted recently at a local health fair. On this visit and on two subsequent nurse visits, the patient's blood pressure measurements are less than 140/90 mm Hg. Following lab studies and an electrocardiogram, what is the next most appropriate step in management?
https://immattersacp.org/weekly/archives/2017/07/25/3.htm
25 Jul 2017
MKSAP Quiz: Evaluation 4 months after a stroke
A 77-year-old woman is evaluated 4 months following a left middle cerebral artery ischemic stroke. The severity of her stroke required prolonged initial hospitalization and a 3-month stay in a rehabilitation center before returning home. Residual deficits include dense right-sided hemiparesis and dysphagia requiring oral feeding with thickened liquids. Following a physical exam and lab studies, what is the most likely cause of this patient's decreased serum creatinine level?
https://immattersacp.org/weekly/archives/2016/03/08/3.htm
8 Mar 2016
MKSAP quiz: Evaluation for recurrent nephrolithiasis
This week's quiz asks readers to determine the most appropriate additional treatment for a 28-year-old man with recurrent nephrolithiasis.
https://immattersacp.org/weekly/archives/2017/04/18/3.htm
18 Apr 2017
Ultrasound may be as effective as CT in diagnosing kidney stones
Ultrasound may be an effective way to diagnose kidney stones with less radiation exposure, a study found.
https://immattersacp.org/weekly/archives/2014/09/23/6.htm
23 Sep 2014
MKSAP Quiz: Ulcerating, painful lesion
A 72-year-old man is evaluated for an ulcerating, painful lesion on his left calf that began as a patch of red skin 2 to 3 weeks ago. He has dialysis-dependent end-stage kidney disease, atrial fibrillation, and hypertension. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/02/mksap-quiz-ulcerating-painful-lesion.htm
1 Feb 2022