Search results for "Rheumatology"
MKSAP Quiz: gradually progressive knee pain
A 52-year-old man is evaluated for a 5-year history of gradually progressive left knee pain. He has 20 minutes of morning stiffness, which returns after prolonged inactivity. He has minimal to no pain at rest. He reports no clicking or locking of the knee. Over the past several months, the pain has limited his ambulation to no more than a few blocks. Following a physical exam and radiograph, what is the most appropriate next diagnostic step?
https://immattersacp.org/weekly/archives/2013/04/23/3.htm
23 Apr 2013
Early interventions overlooked in OA
Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
https://immattersacp.org/archives/2013/05/osteoarthritis.htm
1 May 2013
MKSAP Quiz: progressive fatigue and dyspnea on exertion
A 38-year-old woman is evaluated for a 6-month history of progressive fatigue and dyspnea on exertion. Over the past 2 years she has noted episodes of hand swelling, joint pain, blue color change of her fingers with cold exposure, and difficulty swallowing. Following a physical exam and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/07/02/3.htm
2 Jul 2013
Biological compared with conventional treatment may not improve work loss in early rheumatoid arthritis
Infliximab improved radiologic results but did not result in less work loss compared with conventional combination therapy in patients with early rheumatoid arthritis who did not respond sufficiently to methotrexate, a new study reports.
https://immattersacp.org/weekly/archives/2013/07/09/6.htm
9 Jul 2013
Novel drug plus DMARDs may improve control of rheumatoid arthritis
Tofacitinib improved disease control in patients with active rheumatoid arthritis despite treatment with nonbiologic disease-modifying, anti-rheumatic drugs (DMARDs) compared to placebo, a study found.
https://immattersacp.org/weekly/archives/2013/08/20/5.htm
20 Aug 2013
Classified AdvertisingSeptember 2013 ACPINTERNIST 21 Answer and critiqueThe correct ...
function testing with flow volume loops.This question can be found in MKSAP 16 inthe Rheumatology section, item 45.
https://immattersacp.org/archives/2013/09/acpi-201309-puzzle_t2.pdf
21 Aug 2013
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
MKSAP Quiz: 6-year history of Sjögren syndrome
A 56-year-old woman is evaluated during a follow-up visit for a 6-year history of Sjögren syndrome treated with low-dose hydroxychloroquine and cyclosporine eyedrops. She has had two episodes of cutaneous vasculitis, which resolved with corticosteroids. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/09/24/3.htm
24 Sep 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. 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
Methotrexate intolerance common in patients with rheumatoid, psoriatic arthritis
Gastrointestinal symptoms are common in patients who are prescribed methotrexate for rheumatoid and psoriatic arthritis, in some cases even before they start taking the drug, according to a new study.
https://immattersacp.org/weekly/archives/2014/01/07/5.htm
7 Jan 2014