Search results for "Rheumatology"
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
MKSAP Quiz: Follow-up visit for systemic lupus erythematosus
A 30-year-old woman is evaluated during a follow-up visit for systemic lupus erythematosus. She was diagnosed 3 months ago after presenting with pericarditis and arthritis. She was initially treated with prednisone, 40 mg/d, with improvement of her presenting symptoms. The prednisone has been tapered over 3 months to her current dose of 10 mg/d with no recurrence. Following a physical and cardiac exam, what is the most appropriate next step in treating this patient?
https://immattersacp.org/weekly/archives/2018/03/06/3.htm
6 Mar 2018
New internal medicine residency gains foothold in Nepal
Patan Hospital of Nepal, a tertiary-level referral center that treats nearly 320,000 outpatients and 20,000 inpatients each year, began an internal medicine residency program last year.
https://immattersacp.org/archives/2018/04/new-internal-medicine-residency-gains-foothold-in-nepal.htm
1 Apr 2018
MKSAP Quiz: New rash on legs
A 32-year-old woman is evaluated for a new rash on her legs. She was diagnosed with pyelonephritis 4 days ago and was started on a 7-day regimen of trimethoprim-sulfamethoxazole based on urine culture and sensitivity data; her urinary symptoms have improved. Medical history includes Hashimoto thyroiditis treated with levothyroxine; her dose was increased 4 weeks ago based on thyroid function studies. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/06/mksap-quiz-new-rash-on-legs.htm
1 Jun 2018
MKSAP Quiz: Painless intermittent bloody urine
A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks' duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for 3 years and oral cyclophosphamide for 1 year. Following a physical exam, lab studies, and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/06/12/3.htm
12 Jun 2018
MKSAP Quiz: Follow-up for ankylosing spondylitis
A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain with morning stiffness lasting 20 minutes. She is able to pursue her activities of daily living without any restrictions. Following a physical exam, lab studies, and radiography, what should be performed next?
https://immattersacp.org/weekly/archives/2018/08/21/3.htm
21 Aug 2018
E-consults can empower, burden physicians
E-consults, which have become more common, increase access to subspecialty expertise but can increase stress on primary care clinicians due to the administrative time and clinical effort that they require.
https://immattersacp.org/archives/2018/10/e-consults-can-empower-burden-physicians.htm
1 Oct 2018
MKSAP Quiz: Recently worsening joint symptoms
A 49-year-old woman is evaluated for recently worsening joint symptoms. She has a 13-year history of Crohn disease characterized by four to six stools daily and mild crampy abdominal pain. She also has a 1-year history of arthritis. Following a physical exam, what is the most appropriate long-term treatment?
https://immattersacp.org/weekly/archives/2018/10/23/3.htm
23 Oct 2018
Guideline offers recommendations on treatment of psoriatic arthritis
Most of the recommendations are conditional, meaning that although they apply to many patients, some patients will do better with other treatments due to comorbid conditions or values and preferences, the guideline authors wrote.
https://immattersacp.org/weekly/archives/2018/12/11/2.htm
11 Dec 2018
MKSAP Quiz: 5-year history of recurrent gout
A 53-year-old man is evaluated for a 5-year history of recurrent gout attacks involving the base of the great toes, mid feet, and ankles. Episodes are becoming more frequent and severe. History is also significant for hypertension and stage 3 chronic kidney disease. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/12/11/3.htm
11 Dec 2018