Search results for "Rheumatoid arthritis"
MKSAP Quiz: Gradually progressive dyspnea
A 74-year-old man is evaluated for a five-year history of gradually progressive dyspnea and dry cough without wheezing or hemoptysis. For the past 2 years he has had pain and occasional swelling in both knees. Physical examination shows no digital clubbing or cyanosis. What is the most likely diagnosis?.
https://immattersacp.org/archives/2011/01/mksap.htm
1 Jan 2011
MKSAP Quiz: pain on the radial aspect of the right wrist
A 28-year-old man is evaluated for pain on the radial aspect of the right wrist that occurs with use of the thumb. The pain has been present for 2 weeks. He has never had this pain before and has not had any trauma. He works as a computer programmer and plays video games for 3 to 4 hours each night when he gets home from work. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/03/24/3.htm
24 Mar 2015
MKSAP Quiz: 4-day history of fever, malaise
A 24-year-old man is admitted to the hospital with a 4-day history of fever, malaise, and arthralgia of the elbows, wrists, and knees. Two days ago, he developed progressive pain and swelling of the right knee. He also has a rash on his arm. Following a physical exam and blood cultures, what is the most appropriate diagnostic test to perform?.
https://immattersacp.org/archives/2015/04/mksap.htm
1 Apr 2015
Warning for tofacitinib; generic pregabalin approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/09/warning-for-tofacitinib-generic-pregabalin-approved.htm
1 Sep 2019
MKSAP Quiz: 3-month history of hand pain
A 46-year-old woman is evaluated for a 3-month history of pain and swelling of the hands, dyspnea, and wheezing. She has no other pertinent personal or family medical history. She takes naproxen as needed for pain relief. Following a physical exam and laboratory studies, what is the most appropriate diagnostic test to perform next in this patient?.
https://immattersacp.org/archives/2013/09/mksap.htm
1 Sep 2013
Seeking clarity for opioid prescribing
Doctors continue to be frustrated by their patients' chronic pain problems, due to a lack of evidence on opioids' long-term effectiveness and strong evidence of potential harms.
https://immattersacp.org/archives/2015/04/opioids.htm
1 Apr 2015
Warfarin recalled, type 2 diabetes drug approved
Recalls, warnings, and approvals.
https://immattersacp.org/archives/2011/07/fda.htm
1 Jul 2011
MKSAP Quiz: Recently identified monoclonal protein
A 61-year-old woman is seen in consultation regarding a recently identified monoclonal protein. Medical history is notable for rheumatoid arthritis that has been stable for several years. Following a physical exam and lab tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/03/3.htm
3 Jan 2023
MKSAP Quiz: Red, scaly skin lesions
A 37-year-old man is evaluated for a 4-month history of progressively worsening red, scaly lesions involving the scalp, trunk, and extremities. During the past month, he also has had pain in the hands and feet and has lost 4.5 kg (10.0 lb). Aspirin and acetaminophen have helped to relieve his joint symptoms. He does not drink alcoholic beverages, has no other medical problems, and takes no additional medications. He denies allergies. He has sex with men and women and uses condoms inconsistently. What diagnostic studies should be performed next in this patient?.
https://immattersacp.org/archives/2011/03/mksap.htm
1 Mar 2011
Lupus presentation may be an ‘imitator’
Lupus can involve multiple organ systems and shares the same, sometimes nonspecific presentation as other conditions. But a diligent internist##mdash;an “excellent generalist” in the words of one expert##mdash;can pick up on the correct diagnosis.
https://immattersacp.org/archives/2014/11/lupus.htm
1 Nov 2014