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‘Geriatric tsunami’ carries elderly obesity

By 2030, more than 20% of the U.S. population is expected to be over the age of 65, according to the U.S. Census Bureau. The expected rise in functional impairment in later years can be staved off with a healthy lifestyle.
https://immattersacp.org/archives/2017/02/elderly.htm
1 Feb 2017

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

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

Solving mysterious chronic cough cases

Chronic cough is the third most common reason for ambulatory care visits, but not all affected patients can receive specialist care. A few pearls can help uncover the origins of the condition.
https://immattersacp.org/archives/2018/07/solving-mysterious-chronic-cough-cases.htm
1 Jul 2018

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

New resource offers guide to ‘Practical Office Orthopedics'

Internists can practice some orthopedics in their offices, such as managing common orthopedic conditions affecting the knees, shoulders, hips, feet, ankles, hands, wrists, elbows, and spine.
https://immattersacp.org/archives/2018/03/new-resource-offers-guide-to-practical-office-orthopedics.htm
1 Mar 2018

MKSAP Quiz: Discuss bariatric surgery

A 39-year-old woman comes to the office to discuss bariatric surgery. She has been unable to lose weight with diet and exercise, including supervised weight loss programs. Following a physical exam, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2022/02/15/3.htm
15 Feb 2022

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

Weighing the options for bariatric surgery

Bariatric surgery may be an option for severely obese patients for whom lifestyle changes are not enough. Internists can set up expectations that may improve postsurgical outcomes.
https://immattersacp.org/archives/2016/01/obesity.htm
1 Jan 2016

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

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