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Osteoarthritis can ease with easy changes

An optimal regimen starting with nonpharmacologic measures can help patients achieve notable relief.
https://immattersacp.org/archives/2021/05/osteoarthritis-can-ease-with-easy-changes.htm
1 May 2021

MKSAP Quiz: 4-week history of joint pain, rash

A 33-year-old woman is evaluated for a 4-week history of recurrent worsening joint pain and a new rash on the chest and upper back. She reports sun exposure from spending time at the beach. Following a physical exam, what is the most likely diagnosis for the rash?
https://immattersacp.org/archives/2021/05/mksap-quiz-4-week-history-of-joint-pain-rash.htm
1 May 2021

Giant-cell arteritis needs prompt action for good outcomes

The differential diagnosis of this condition can be challenging because many conditions can mimic it.
https://immattersacp.org/archives/2021/05/giant-cell-arteritis-needs-prompt-action-for-good-outcomes.htm
1 May 2021

Multicomponent fall prevention programs no more effective than mailed information alone

Researchers in England compared fracture rates over 18 months among elderly participants who received advice about fall reduction by mail alone and those who received advice by mail plus an exercise-based or multifactorial intervention.
https://immattersacp.org/weekly/archives/2020/11/10/4.htm
10 Nov 2020

Atypical femur fracture risk increases with longer bisphosphonate use, drops after discontinuation

Researchers studied women ages 50 years or older who took bisphosphonates and were enrolled in the Kaiser Permanente Southern California health care system.
https://immattersacp.org/weekly/archives/2020/08/25/3.htm
25 Aug 2020

Need for hip, knee replacement appears reduced with canakinumab, industry-funded study finds

An editorial noted that a novel entry criterion may have identified a subgroup of patients with accelerated joint degeneration.
https://immattersacp.org/weekly/archives/2020/08/04/4.htm
4 Aug 2020

MKSAP Quiz: Evaluation for stiffness and pain

A 43-year-old man is evaluated for knee, hip, shoulder, and arm stiffness, worsening over the past year. He also has pain in the arms, legs, neck, and torso, both on and between the joints. He states that his discomfort is continuous. After a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/06/16/3.htm
16 Jun 2020

DOACs associated with lower risk of fracture than warfarin in atrial fibrillation

Patients taking apixaban, dabigatran, or rivaroxaban had lower rates of hip and vertebral fractures than those taking warfarin, with no difference seen between the direct oral anticoagulants (DOACs).
https://immattersacp.org/weekly/archives/2020/05/19/2.htm
19 May 2020

New guidance urges caution on testosterone

Internists considering testosterone therapy are ideally positioned to consider a broader differential diagnosis that will actually help the patient.
https://immattersacp.org/archives/2020/05/new-guidance-urges-caution-on-testosterone.htm
1 May 2020

MKSAP Quiz: 2-week history of gradually increasing pain

A 75-year-old woman is evaluated for a 2-week history of gradually increasing pain in both shoulders and hips; the pain radiates down both arms to the elbows and down both hamstrings to the knees. She reports no headache, jaw claudication, or vision changes. She was diagnosed with polymyalgia rheumatica 3 months ago. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/03/24/3.htm
24 Mar 2020

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