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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

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

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

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

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

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

Hip fractures among nursing home residents are associated with high mortality rates, functional decline

The frequently poor outcomes of nursing home residents who have a hip fracture were quantified by a new study.
https://immattersacp.org/weekly/archives/2014/07/01/2.htm
1 Jul 2014

Get rid of GERD without unneeded costs, tests

Gastroesophageal reflux disease can be diagnosed in the office, without the need for expensive tests such as endoscopy. Learn how to make the right diagnosis while avoiding confounding symptoms that might steer a patient toward the wrong specialist.
https://immattersacp.org/archives/2014/06/GERD.htm
1 Jun 2014

A new kind of leadership: the physician and administrator role

It was 6:55 a.m. when I got off the shuttle to the hospital. I was going to be late for my first day on my health administration elective. I thought only surgeons had to get up this early!.
https://immattersacp.org/archives/2014/06/student.htm
1 Jun 2014

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

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