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MKSAP Quiz: 1-year history of headaches, redness, itching

An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She has hypertension and takes hydrochlorothiazide. Blood pressure is 160/90 mm Hg, BMI is 19, and abdominal examination shows splenomegaly. After laboratory studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/10/02/4.htm
2 Oct 2018

Longer lifespans emerge in Down syndrome

Transitioning a patient with Down syndrome from a pediatric practice to an adult physician can be challenging due to a lack of willing physicians, who may not feel that they know enough to provide care.
https://immattersacp.org/archives/2021/02/longer-lifespans-emerge-in-down-syndrome.htm
1 Feb 2021

Watch out for NAFLD, treat ASAP

While nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are dynamic processes that can progress and regress, lifestyle modification, including diet, is a must for all patients, wherever they are in their disease.
https://immattersacp.org/archives/2021/04/watch-out-for-nafld-treat-asap.htm
1 Apr 2021

Treatments recommended for chronic insomnia resistant to nonmedical interventions

The recommendations are intended to help clinicians choose a specific pharmacological agent for the treatment of chronic insomnia in adults when such treatment is indicated.
https://immattersacp.org/weekly/archives/2017/02/28/4.htm
28 Feb 2017

Evaluating alcohol use in ‘Dry January’

With the pandemic's effects on drinking as a backdrop, public health initiatives like “Dry January” may be enticing to patients who want to pause their drinking and examine their habits.
https://immattersacp.org/archives/2022/01/evaluating-alcohol-use-in-dry-january.htm
1 Jan 2022

MKSAP Quiz: 1-year history of daily afternoon fatigue

A 51-year-old woman with a 5-year history of multiple sclerosis is evaluated for a 1-year history of daily afternoon fatigue that necessitates frequent naps and impairs her concentration at work. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/05/21/3.htm
21 May 2019

MKSAP Quiz: 6-month history of worsening exertional dyspnea

A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has severe COPD, previously with minimal exertional symptoms, but now notes activity-limiting shortness of breath when walking short distances. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratropium metered-dose inhaler. He has a 55-pack-year smoking history but quit when COPD was diagnosed. Following a physical exam, chest radiograph, and transthoracic echocardiogram, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/01/10/3.htm
10 Jan 2017

Physicians as patients with COVID-19

Physicians who contracted COVID-19 share their perspectives on how the disease has changed their personal and professional lives.
https://immattersacp.org/archives/2022/01/physicians-as-patients-with-covid-19.htm
1 Jan 2022

Latest on COVID-19 and bamlanivimab, vaccines, long-term effects

Bamlanivimab reduced viral load in mild to moderate cases when combined with etesevimab, new vaccine recommendations, research, and educational resources were released, and two studies provided longer-term data on patients who had COVID-19.
https://immattersacp.org/weekly/archives/2021/01/26/1.htm
26 Jan 2021

RSV vaccine approved; several actions on opioids

This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2023/06/rsv-vaccine-approved-several-actions-on-opioids.htm
1 Jun 2023

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