Search results for "Imaging"
COVID-19 studies look at transmission, cardiac effects, and lung ultrasound as triage
A review found most transmission to be respiratory, while a study suggested protection from eyeglasses. Data from athletes provided insight into cardiac effects, and lung ultrasound may be useful for triage. Philip A. Masters, MD, FACP, looked at how the pandemic has altered medicine.
https://immattersacp.org/weekly/archives/2020/09/22/1.htm
22 Sep 2020
MKSAP Quiz: Evaluation for multiple myeloma
A 64-year-old man is evaluated following a recent diagnosis of multiple myeloma. Chemotherapy is planned to begin in 14 days. Which prophylactic therapy is indicated today?
https://immattersacp.org/weekly/archives/2023/12/05/3.htm
5 Dec 2023
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
Pinning down Parkinson's disease
The diagnosis requires constant questioning, as one expert at the 2022 International Congress on Parkinson's Disease and Movement Disorders explained.
https://immattersacp.org/archives/2023/05/pinning-down-parkinsons-disease.htm
1 May 2023
MRI screening led to lower rate of interval cancers in women with dense breasts
While following a negative mammogram with MRI screening halved the risk of interval cancer in women with dense breast tissue, the impact on survival remains unclear, an editorial said.
https://immattersacp.org/weekly/archives/2019/12/10/4.htm
10 Dec 2019
ICD detection, treatment of arrhythmias not impacted by MRI
Evidence is accumulating that MRIs do not induce clinically significant functional changes in non-MRI-conditional implantable cardioverter-defibrillators (ICDs), according to the authors of a recent study that followed the devices' performance for about two years after an MRI.
https://immattersacp.org/weekly/archives/2023/01/31/1.htm
31 Jan 2023
Presenting symptoms in low-risk outpatients not always associated with higher baseline CAD risk
Researchers performed a secondary analysis of the PROMISE trial to determine the relationship between coronary artery disease (CAD) symptoms at presentation and resulting processes of care, test results, and clinical outcomes.
https://immattersacp.org/weekly/archives/2022/04/12/4.htm
12 Apr 2022
Hydrochlorothiazide no better than placebo for preventing kidney stone recurrence
A randomized, double-blind, placebo-controlled trial in Switzerland found that patients with a history of recurring kidney stones were no less likely to experience symptomatic or radiologic recurrence with hydrochlorothiazide versus placebo.
https://immattersacp.org/weekly/archives/2023/03/07/1.htm
7 Mar 2023
MKSAP Quiz: Managing a congenital heart defect in an adult
A 24-year-old woman diagnosed with a ventricular septal defect at age 7 months undergoes routine examination. The S1 and S2 are masked by a loud holosystolic murmur noted at the left lower sternal border. A transthoracic echocardiogram demonstrates a membranous ventricular septal defect with a small left-to-right shunt. After review of additional results from cardiac testing, what is the appropriate management?
https://immattersacp.org/weekly/archives/2020/11/24/3.htm
24 Nov 2020
MKSAP Quiz: 6-week history of chest pressure
A 52-year-old woman is evaluated for a 6-week history of chest pressure that occurs during exercise and is relieved with rest. She also had chest pressure during a stressful work meeting last week. Medical history includes hypertension and hyperlipidemia, and medications are hydrochlorothiazide, lisinopril, and atorvastatin. After normal results on physical examination and electrocardiography, what diagnostic test should be performed next?
https://immattersacp.org/weekly/archives/2019/09/10/3.htm
10 Sep 2019