Search results for "Antibiotics"
MKSAP Quiz: Dark-colored urine for 2 days
A 25-year-old man is evaluated for dark-colored urine for 2 days, swelling of the face and hands for 1 day, and severe headaches this morning. He reports having an upper respiratory tract infection 1 week ago with fever, sore throat, and swollen glands, but had otherwise felt well. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/05/15/3.htm
15 May 2018
Nitrofurantoin has higher cure rates than fosfomycin for uncomplicated cystitis, study finds
Nitrofurantoin can be the agent of choice in regions of the world where susceptibility is preserved, editorialists said.
https://immattersacp.org/weekly/archives/2018/05/01/2.htm
1 May 2018
FDA warns about clarithromycin in heart disease
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/05/fda-warns-about-clarithromycin-in-heart-disease.htm
1 May 2018
Most sinusitis prescriptions exceed recommended duration, study finds
More than 20% of prescriptions were for a five-day course of azithromycin, a course that the Infectious Diseases Society of America explicitly recommends against because of its known association with the development of drug resistance.
https://immattersacp.org/weekly/archives/2018/04/03/1.htm
3 Apr 2018
MKSAP Quiz: Acute worsening of atopic dermatitis
A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly and triamcinolone ointment and washing with gentle cleansers without improvement. Following a physical exam, what is the most likely cause of this patient's acute flare?
https://immattersacp.org/weekly/archives/2018/03/20/3.htm
20 Mar 2018
MKSAP Quiz: 5-day history of a lesion
A 31-year-old woman is evaluated for a 5-day history of a nonpainful cutaneous lesion on the back of her left hand. She works as a packer in a parcel distribution center. She does not recall injury to this area and reports no unusual employment or recreational exposures. She has not had fever, cough, shortness of breath, headache, chest discomfort, or gastrointestinal symptoms. Yesterday, two coworkers were evaluated for similar lesions. Her husband has recently been prescribed an antibiotic after being diagnosed with a “boil” from which methicillin-resistant Staphylococcus aureus was cultured. Her only medication is an oral contraceptive pill. What is the most appropriate management?
https://immattersacp.org/archives/2018/02/mksap-quiz-5-day-history-of-a-lesion.htm
1 Feb 2018
‘UTI’ an overused diagnosis in the era of the microbiome
An evolving understanding of urinary tract infections has led one expert to describe them as an “ambiguous, expansive, overused diagnosis” that can lead to the myriad harms of antibiotic overtreatment.
https://immattersacp.org/archives/2018/02/uti-an-overused-diagnosis-in-the-era-of-the-microbiome.htm
1 Feb 2018
Pinpointing pancreatitis difficult, but key to good outcomes
Several review papers help internists identify patients with pancreatitis who are most likely to progress to severe disease and how to best manage their care.
https://immattersacp.org/archives/2018/02/pinpointing-pancreatitis-difficult-but-key-to-good-outcomes.htm
1 Feb 2018
Problems and potential with probiotics
Probiotics are becoming more prevalent in both consumer and health care settings, but the excitement is tempered by problems, including how to define what is and what isn't one.
https://immattersacp.org/archives/2018/01/problems-and-potential-with-probiotics.htm
1 Jan 2018
Denial of some patient requests, but not others, associated with decreased patient satisfaction, study finds
Denial of requests was associated with worse patient satisfaction for referrals, pain medications, other new medications, and lab tests, but not for antibiotics, radiology tests, or other tests.
https://immattersacp.org/weekly/archives/2017/12/05/5.htm
5 Dec 2017