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?
17 Dec 2013
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?.
1 Mar 2011
The effect of obesity on C-reactive protein may alter its performance as a biomarker of disease activity in clinical trials and in practice, authors said.
11 Apr 2017
This week's quiz asks readers to evaluate a young man with a 6-month history of low back pain and prolonged morning stiffness.
15 Jan 2013
This week's quiz asks readers to advise a 29-year-old pregnant woman with systemic lupus erythematosus.
21 Aug 2012
Member leaders and staff at ACP's Center for Quality selected awardees whose work has helped physicians implement practice transformation so as to achieve the quadruple aim, including better care, better patient outcomes, better value, and the promotion of physician well-being.
24 May 2016
Transcripts of doctor-patient interactions may suggest failure on the part of physicians, but they also reflect a general failure on the part of the health care system, as drug prices and out-of-pocket spending are often difficult to determine.
12 Apr 2016
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.
1 Oct 2018
Clinical lives are run by schedules with office visit slots as short as 15 minutes, often not enough time to handle the issues of any given patient.
1 Jul 2019
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?
2 Jul 2013