Search results for "Rheumatology"
Osler, expertise, and phronesis personified
From residency onward throughout a physician's career, becoming a diagnostician requires the ability to distinguish important clues or details from those that are not as pertinent to the situation at hand, a slowly developed skill that ultimately is recognized as an “expertise.”
https://acpinternist.org/archives/2019/10/osler-expertise-and-phronesis-personified.htm
1 Oct 2019
MKSAP Quiz: 6-month history of diffuse muscle and joint pain
This week's quiz asks readers to evaluate a 25-year-old woman with a 6-month history of diffuse muscle and joint pain, fatigue, and difficulty sleeping.
https://acpinternist.org/weekly/archives/2012/01/10/3.htm
10 Jan 2012
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://acpinternist.org/weekly/archives/2013/08/20/5.htm
20 Aug 2013
MKSAP Quiz: Follow-up for systemic lupus erythematosus
A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
https://acpinternist.org/weekly/archives/2022/04/05/3.htm
5 Apr 2022
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://acpinternist.org/weekly/archives/2014/08/12/5.htm
12 Aug 2014
Hypertension may be underdiagnosed in rheumatoid arthritis patients
Patients with rheumatoid arthritis are nearly 30% less likely to be diagnosed with hypertension than those without the disease, a study found.
https://acpinternist.org/weekly/archives/2014/05/06/5.htm
6 May 2014
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://acpinternist.org/weekly/archives/2013/04/23/3.htm
23 Apr 2013
Indian Health Service reaches across borders within the U.S.
A partnership allows staff at Brigham and Women's Hospital in Boston to collaborate with physicians who serve Navajo Nation, a medically underserved population in New Mexico.
https://acpinternist.org/archives/2012/03/IHS.htm
1 Mar 2012
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://acpinternist.org/weekly/archives/2014/10/28/3.htm
28 Oct 2014
Prescription NSAIDs may have minimal clinical effect on knee osteoarthritis
Long-term use of prescription nonsteroidal anti-inflammatory drugs (NSAIDs) for knee osteoarthritis (OA) was associated with minimally important clinical change in stiffness, physical function, and joint space width, but not pain, a study found.
https://acpinternist.org/weekly/archives/2015/03/17/1.htm
17 Mar 2015