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MKSAP Quiz: Follow-up for a wrist fracture

This week's quiz asks readers to reevaluate a 55-year-old man during a follow-up examination for a wrist fracture and anemia.
https://immattersacp.org/weekly/archives/2014/08/19/3.htm
19 Aug 2014

MKSAP Quiz: mass in the right neck

A 38-year-old man is evaluated for a mass in his right neck that he first noticed 2 weeks ago while shaving. The patient also reports experiencing a pressure sensation when swallowing solid foods for the past year and daily diarrhea for the past 2 months. His personal medical history is unremarkable. His younger brother has nephrolithiasis, and his father died of a hypertensive crisis and cardiac arrest at age 62 years while undergoing anesthesia induction to repair a hip fracture. Following a physical exam, lab studies, and a chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/11/18/3.htm
18 Nov 2014

Some serious risks of long-term opioid therapy may be dose-dependent

Long-term opioid therapy is associated with increased risk for serious harms such as overdose, opioid abuse, fractures, and myocardial infarction, and some of the effect may be dose-dependent, according to a systematic review.
https://immattersacp.org/weekly/archives/2015/01/13/1.htm
13 Jan 2015

Does ACA coverage really make a difference?

Patients with health insurance have better outcomes and enjoy better quality of life. The Affordable Care Act is offering more people access, even though cost-sharing may still put better care out of reach.
https://immattersacp.org/archives/2015/03/washington.htm
1 Mar 2015

MKSAP Quiz: maintaining bone health

A 54-year-old woman comes to the office for advice regarding maintaining bone health. She has no history of fracture. The patient recently had a lumpectomy and radiation therapy to treat breast cancer, is currently taking tamoxifen, and will begin taking an aromatase inhibitor in 2 months. She underwent menopause at age 52 years and has persistent hot flushes. Her risk factors for osteoporosis include a slim body habitus and a mother who had a hip fracture at age 67 years. Following a physical exam, lab results and a dual-energy x-ray absorptiometry scan, what pharmacologic agents can be started in this patient?
https://immattersacp.org/weekly/archives/2015/03/10/3.htm
10 Mar 2015

MKSAP Quiz: 1-year history of fatigue, headaches

A 30-year-old woman is evaluated for a 1-year history of fatigue, headaches, poor sleep, depression, intermittently blurred vision, and weakness when climbing stairs. She takes no medication.
https://immattersacp.org/weekly/archives/2015/04/21/3.htm
21 Apr 2015

Conference offers advice on palliative care

Sessions at the American Academy of Hospice and Palliative Medicine's annual meeting addressed the need for treating hip fractures, the pros and cons of withholding treatment, and preserving opportunities for organ donation.
https://immattersacp.org/archives/2015/05/palliative.htm
1 May 2015

Aspirin's use, effectiveness debated

This issue covers topics including aspirin's role in cardiovascular health, conference coverage for palliative care, and the growth of free clinics in medical education.
https://immattersacp.org/archives/2015/05/editors.htm
1 May 2015

Survey finds some patients hate pills more than others

Physicians prescribing and talking to patients about medication should keep in mind their patients' disdain for taking pills and the lengths they will go to not have to take them.
https://immattersacp.org/archives/2015/05/pills.htm
1 May 2015

SSRIs may be associated with increased fracture risk in middle-aged women without mental disorders

Women without mental illness who started SSRIs and a cohort of women who started H2 antagonists or proton-pump inhibitors (without SSRIs) were compared, with a main study outcome of hip, humerus, radius, or ulna fractures 1 or more days after starting therapy.
https://immattersacp.org/weekly/archives/2015/07/07/2.htm
7 Jul 2015

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