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MKSAP Quiz: 3-year history of pain in muscles, joints

A 47-year-old woman is evaluated for a 3-year history of pain in all of her muscles and joints. She is a commercial truck driver. Her sleep is poor, and she awakens unrefreshed. She completes a fibromyalgia diagnostic questionnaire and meets the criteria for fibromyalgia. She has anxiety and depression. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/04/02/3.htm
2 Apr 2024

Diagnose, address cognitive impairment in heart failure patients, society says

A new scientific statement from the Heart Failure Society of America advises clinicians to be alert to clues such as difficulty with money or running out of medicine, among other recommendations.
https://immattersacp.org/weekly/archives/2024/03/19/4.htm
19 Mar 2024

MKSAP Quiz: 2-year history of migraine

A 20-year-old man is evaluated for a 2-year history of migraine that began when he started college. Migraine episodes occur 6 to 12 days per month, with more frequent episodes associated with increased stress from difficult assignments or final examinations. All physical examination findings, including vital signs, are unremarkable. What is the most appropriate preventive measure?
https://immattersacp.org/weekly/archives/2024/03/12/3.htm
12 Mar 2024

New 'weighs' to treat obesity

Even as the data on weight loss drugs mount, physicians need to help patients navigate potentially prohibitive costs and a continuing need for lifestyle change.
https://immattersacp.org/archives/2024/03/new-weighs-to-treat-obesity.htm
1 Mar 2024

Insomnia symptoms, short sleep duration in midlife women linked to CVD risk

Persistent insomnia symptoms, alone and combined with short sleep duration, in women ages 42 to 52 years were associated with a subsequent 70% to 75% increased risk of cardiovascular disease (CVD).
https://immattersacp.org/weekly/archives/2024/02/06/2.htm
6 Feb 2024

MKSAP Quiz: Evaluation after an ED visit

A 27-year-old man is evaluated during a follow-up visit. He recently visited the emergency department for a burn sustained while setting off fireworks at a party while intoxicated. He has a history of depression but never followed up for treatment and reports that his mood has improved remarkably since then. Following additional medical history and a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/02/06/3.htm
6 Feb 2024

MKSAP Quiz: 1-year history of widespread joint, muscle pain

A 37-year-old woman is evaluated for a 1-year history of widespread joint and muscle pain, fatigue, poor sleep, and difficulty focusing. Following a physical exam and lab tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/09/3.htm
9 Jan 2024

Sorting out vertigo

A shift in diagnostic approach for vertigo involves asking about the timing and triggers for episodes rather than a description of symptoms.
https://immattersacp.org/archives/2024/01/sorting-out-vertigo.htm
1 Jan 2024

Problems with grateful patient programs

A recent position paper from ACP adds to the increasing scrutiny of institutions' current fundraising practices.
https://immattersacp.org/archives/2024/01/problems-with-grateful-patient-programs.htm
1 Jan 2024

Personalized strategies improved cognition, reduced dementia risk in seniors

An intervention with personalized risk-reduction goals, health coaching, and nurse visits was offered to patients who were between the ages of 70 and 89 years and had at least two targeted risk factors for dementia.
https://immattersacp.org/weekly/archives/2023/12/05/2.htm
5 Dec 2023

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