Search results for "Venous thromboembolism"
Expert gives advice on perioperative medication management
Much confusion remains about perioperative management of anticoagulants, even though the drugs have been available for several years. And they are only going to become more prevalent, an expert said.
https://immattersacp.org/archives/2014/06/perioperative.htm
1 Jun 2014
Adding aspirin or NSAID to anticoagulant doubles bleeding risk
Taking aspirin or an NSAID while on anticoagulant therapy significantly increases the risk of bleeding in patients who have had a venous thromboembolism (VTE), a recent study found.
https://immattersacp.org/weekly/archives/2014/04/22/5.htm
22 Apr 2014
MKSAP Quiz: ED evaluation for midsternal pain
A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014
Age-adjusted D-dimer cutoff appears better at ruling out PE
D-dimer cutoffs adjusted for age performed better than a fixed D-dimer cutoff for safely ruling out pulmonary embolism (PE), especially in elderly patients, according to a new study.
https://immattersacp.org/weekly/archives/2014/03/25/6.htm
25 Mar 2014
Thoracic society releases guidelines on pulmonary hypertension in sickle cell patients
The American Thoracic Society recently released clinical practice guidelines to help clinicians identify and manage patients with sickle cell disease who are at increased risk for death from pulmonary hypertension.
https://immattersacp.org/weekly/archives/2014/03/18/4.htm
18 Mar 2014
MKSAP Quiz: severe abdominal pain of 2 days' duration
A 43-year-old man is evaluated in the hospital for severe abdominal pain of 2 days' duration. He is otherwise healthy except for the recent finding of pancytopenia. Family history is noncontributory. His only medication is a daily multivitamin.
https://immattersacp.org/weekly/archives/2014/02/25/3.htm
25 Feb 2014
Genotype testing for warfarin dosing may offer limited or no benefit
Genotyping for warfarin therapy has limited, if any, benefit, according to 3 recent studies and an editorial.
https://immattersacp.org/weekly/archives/2013/11/26/1.htm
26 Nov 2013
MKSAP Quiz: Pregnancy and a previous idiopathic pulmonary embolism
A 35-year-old woman undergoes evaluation after home pregnancy testing indicated that she is pregnant. Her medical history includes a previous idiopathic pulmonary embolism. Her only medication is a daily prenatal vitamin. Following a physical exam, what is the most appropriate venous thromboembolism prophylaxis for this patient?
https://immattersacp.org/weekly/archives/2013/11/12/3.htm
12 Nov 2013
MKSAP Quiz: 10-year history of hot flushes
A 61-year-old woman is evaluated for hot flushes, which have been persistent for the last 10 years. They occur at least 7 times per day, last for approximately 60 seconds, and are associated with severe sweating, palpitations, and occasional nausea. She is awakened several times per night. Following a review of medicines and herbal supplements, taking her medical history, and a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2013/11/05/3.htm
5 Nov 2013
Year-two skills are forged from year-one lessons
A doctor's medical education transitions him to the role of leader, even as he reflects on how little his training has prepared him to be one.
https://immattersacp.org/archives/2013/10/residents.htm
1 Oct 2013