Search results for "Aspirin"
MKSAP Quiz: Elevated INR found on routine monitoring
A 75-year-old man is evaluated for an elevated INR found on routine monitoring. He is otherwise well and has no evidence of bleeding. Following lab studies and stopping warfarin, what is the most appropriate additional management?
https://immattersacp.org/weekly/archives/2022/09/27/3.htm
27 Sep 2022
Rheumatoid arthritis hurts the whole body
Taking care of a patient with rheumatoid arthritis involved a partnership between internists and subspecialists, agree physicians managing cardiovascular risks, cancer or infections.
https://immattersacp.org/archives/2010/07/arthritis.htm
1 Jul 2010
MKSAP Quiz: Follow-up visit for rheumatoid arthritis
A 58-year-old man is evaluated at a follow-up visit. He has had rheumatoid arthritis for 5 years. Increasing morning stiffness, fatigue, increasing joint pain, and swelling of small hand joints have developed in the past 6 months. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/08/16/3.htm
16 Aug 2022
MKSAP Quiz: Evaluation for palpitations, fatigue
A 78-year-old man is evaluated for palpitations, worsening fatigue, and exercise intolerance. Two months ago, he was diagnosed with atrial flutter and subsequently underwent cardioversion to normal sinus rhythm. Following a physical exam, lab studies, and an electrocardiogram, what is the most appropriate treatment?
https://immattersacp.org/archives/2018/10/mksap-quiz-evaluation-for-palpitations-fatigue.htm
1 Oct 2018
MKSAP quiz: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022
MKSAP Quiz: Follow-up for stable chronic kidney disease
A 57-year-old man is evaluated during follow-up for stable chronic kidney disease diagnosed 1 year ago. He also has type 2 diabetes mellitus, hyperlipidemia, and peripheral artery disease. On physical examination, blood pressure is 128/74 mm Hg, pulse rate is 65/min, and respiration rate is 18/min. Bilateral carotid and lower abdominal quadrant bruits are heard. Peripheral extremity pulses are diminished. The remainder of the examination is normal. After laboratory studies, what is the appropriate management?
https://immattersacp.org/weekly/archives/2021/11/09/3.htm
9 Nov 2021
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
MKSAP Quiz: Evaluation for osteoporosis
A 78-year-old woman is evaluated for osteoporosis. She was diagnosed 5 years ago following a fragility fracture in the left hip. Following medical treatment and dual-energy x-ray absorptiometry, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/04/19/3.htm
19 Apr 2022
Screening for PTSD after life-threatening medical events
Internists are in position to screen for and spot signs of post-traumatic stress disorder following life-threatening medical events such as heart attack and stroke. Yet this is not always part of usual care.
https://immattersacp.org/archives/2015/11/ptsd.htm
1 Nov 2015
MKSAP Quiz: 8-week history of postprandial abdominal pain
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022