Search results for "Rheumatology"
MKSAP Quiz: 1-year history of morning stiffness, aching hands
A 23-year-old woman is evaluated for a 1-year history of morning stiffness and achiness of the hands as well as Raynaud phenomenon. Two months ago, she experienced a sun-induced rash on the chest and back and patches of discoloration on the hands. Following a physical exam and lab studies, what is the most appropriate initial treatment?
https://immattersacp.org/weekly/archives/2015/02/10/3.htm
10 Feb 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
Nighttime gout attack risk may be twice as much as in daytime
The risk of acute gout attacks was more than twice as high during the night or early morning hours than the day, even among those who did not consume alcohol and had a low purine intake during the 24 hours prior to the attack, a study found.
https://immattersacp.org/weekly/archives/2014/12/16/5.htm
16 Dec 2014
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
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians placed in nomination candidates for officers and Regents.
https://immattersacp.org/archives/2014/11/regents.htm
1 Nov 2014
MKSAP Quiz: preoperative evaluation for knee replacement
A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/10/28/3.htm
28 Oct 2014
NSAID use may be associated with increased VTE risk
There may be a statistically significant increased risk of venous thromboembolism (VTE) among users of nonsteroidal anti-inflammatory drugs (NSAIDs), a meta-analysis found.
https://immattersacp.org/weekly/archives/2014/09/30/4.htm
30 Sep 2014
MKSAP Quiz: 3-month history of fatigue, rash
A 58-year-old woman is evaluated for a 3-month history of fatigue and a nonpruritic rash on the chest and arms. The rash worsens with sun exposure. The patient reports no pleurisy, dryness of the eyes or mouth, arthritis, or Raynaud phenomenon. There is no evidence of synovitis. The appearance of the rash is shown. A physical exam and laboratory tests are normal. Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive. What is the most likely diagnosis?.
https://immattersacp.org/archives/2014/09/mksap.htm
1 Sep 2014
Lupus patient readmission rates are high and vary considerably by hospital, region, study finds
Approximately 1 in 6 hospitalized patients with systemic lupus erythematosus (SLE) were readmitted to the hospital within 30 days, according to a new study.
https://immattersacp.org/weekly/archives/2014/08/12/5.htm
12 Aug 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