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MKSAP Quiz: Perioperative evaluation for hip arthroplasty

A 52-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip since sustaining injuries in a motor vehicle accident 15 years ago and is scheduled for elective hip arthroplasty in the next few months. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2020/02/11/3.htm
11 Feb 2020

New warnings for gabapentinoids; other drugs approved

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/02/new-warnings-for-gabapentinoids-other-drugs-approved.htm
1 Feb 2020

MKSAP Quiz: Progressive malaise and weakness, aches, and stiffness

A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness. He recently noted aching in his jaw when chewing and reports new left-sided headaches. His erythrocyte sedimentation rate is elevated. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2019/11/26/3.htm
26 Nov 2019

Physical activity in women may reduce risk for some fractures over time

An analysis of data from the Women's Health Initiative found that total physical activity in postmenopausal women was inversely associated with risk of total and hip fracture but positively associated with risk of knee fracture over 14 years of follow-up.
https://immattersacp.org/weekly/archives/2019/10/29/2.htm
29 Oct 2019

Menopausal hormone therapy linked to breast cancer risk

An individual patient-level meta-analysis found that risk for breast cancer increased steadily with duration of use for all types of menopausal hormone therapy except vaginal estrogen and that risk was higher with estrogen-progestogen than estrogen-only formulations.
https://immattersacp.org/weekly/archives/2019/09/10/1.htm
10 Sep 2019

Bringing medicine to the streets

A newly formed street medicine fellowship is allowing academic centers and cities to bring care to homeless patients instead of waiting for them to present to a hospital or shelter.
https://immattersacp.org/archives/2019/07/bringing-medicine-to-the-streets.htm
1 Jul 2019

Resist the urge to overtreat bacteriuria

Antibiotics could be avoided more frequently even in patients who have significant bacteriuria if a physician takes the time to convey potential antibiotic risks.
https://immattersacp.org/archives/2019/07/resist-the-urge-to-overtreat-bacteriuria.htm
1 Jul 2019

Osteoporosis associated with significant five-year risk of hip fracture in women 80 years and older

Women with osteoporosis had similar mortality risk, but much higher rates of hip fracture, compared to those without osteoporosis but with other risk factors for fracture.
https://immattersacp.org/weekly/archives/2019/06/25/4.htm
25 Jun 2019

New Curbsiders podcast episodes: Telehealth, hip pain, and anaphylaxis

The Curbsiders, a podcast hosted by internists focusing on internal medicine-related topics, offers CME credit and MOC points to ACP members.
https://immattersacp.org/weekly/archives/2019/06/04/6.htm
4 Jun 2019

Top 10 medical myths, busted

Ten medical myths persist despite all the evidence.
https://immattersacp.org/archives/2019/06/top-10-medical-myths-busted.htm
1 Jun 2019

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