Search results for "Osteoarthritis"
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
MKSAP Quiz: treatment of community-acquired pneumonia
A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Following blood cultures, a physical exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/07/08/3.htm
8 Jul 2014
MKSAP Quiz: 3-month history of intermittent itching
A 59-year-old man is evaluated for a 3-month history of intermittent itching on the forearms. He describes the itch as deep, with a burning or tingling sensation. Scratching helps somewhat, but over-the-counter topical corticosteroids have not helped. Cooling the skin soothes the itch. He did not notice a rash until he started scratching. The itch gets worse after being in the sun, but sun exposure does not cause redness or a rash. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/08/12/3.htm
12 Aug 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
Intra-articular treatments appear superior to NSAIDs for knee osteoarthritis in meta-analysis
A meta-analysis comparing treatments for knee osteoarthritis found that intra-articular treatments were superior to NSAIDs.
https://immattersacp.org/weekly/archives/2015/01/13/5.htm
13 Jan 2015
Inadequate pain relief common among patients with knee osteoarthritis
Inadequate pain relief is common among patients with knee osteoarthritis (OA), with more than half of patients having persistent pain, a study found.
https://immattersacp.org/weekly/archives/2015/02/10/5.htm
10 Feb 2015
Clarification
An item in the Feb. 10 issue of ACP Internist Weekly requires clarification. The item, “Inadequate pain relief common among patients with knee osteoarthritis,” should have noted that pharmaceutical sponsorship was involved in the design and conduct of the study under discussion.
https://immattersacp.org/weekly/archives/2015/02/24/10.htm
24 Feb 2015
Prescription NSAIDs may have minimal clinical effect on knee osteoarthritis
Long-term use of prescription nonsteroidal anti-inflammatory drugs (NSAIDs) for knee osteoarthritis (OA) was associated with minimally important clinical change in stiffness, physical function, and joint space width, but not pain, a study found.
https://immattersacp.org/weekly/archives/2015/03/17/1.htm
17 Mar 2015