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MKSAP Quiz: Evaluation for constipation

A 35-year-old woman is evaluated for constipation. She reports passage of hard stool every 3 to 4 days and associated bloating. Her symptoms have been present for more than 10 years and have progressed gradually. On physical examination, vital signs and other findings are normal. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/01/15/3.htm
15 Jan 2019

MKSAP Quiz: Decreased exercise tolerance, ice cravings

A 28-year-old woman is evaluated for decreased exercise tolerance and ice cravings for the past several weeks. Medical history is notable for Crohn colitis diagnosed 6 years ago. Her symptoms flared 3 months ago with increased abdominal pain and diarrhea, and she began therapy with azathioprine and infliximab. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2018/11/20/3.htm
20 Nov 2018

Registration open for ACP webinars on diabetes, opioids, and gender equity

Topics include “Update on Diabetes Mellitus,” “Managing Patients Not Benefiting From (or Being Harmed by) Opioids,” and “Putting Gender Equity Principles into Action.”
https://immattersacp.org/weekly/archives/2018/08/28/6.htm
28 Aug 2018

Reporting on risks often inadequate for prebiotics, probiotics, synbiotics

Researchers reviewed studies that discussed the safety or efficacy of at least one intervention involving probiotics, prebiotics, or synbiotics alone or in combination with another intervention compared with any control for any clinical condition.
https://immattersacp.org/weekly/archives/2018/07/17/1.htm
17 Jul 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

Gathering of medical women focuses on female health needs

Women's health differs from men's, both generally and in a number of specific conditions, including liver disease, kidney disease, and digestive and eating disorders, and physicians should take these differences into account in their daily practice.
https://immattersacp.org/archives/2018/05/gathering-of-medical-women-focuses-on-female-health-needs.htm
1 May 2018

MKSAP Quiz: Worsening headaches

A 26-year-old woman is evaluated for progressively worsening headaches that began intermittently 6 months ago and became daily 3 months ago. The patient describes bilateral “vise-like” pain that is steady, moderate in intensity, and unaffected by physical activity. She also has experienced brief, temporal, sharp pains and a few episodes of transient binocular visual dimming. Following a physical exam, funduscopy, MRI, and lumbar puncture, what is the most appropriate treatment?
https://immattersacp.org/archives/2018/04/mksap-quiz-worsening-headaches.htm
1 Apr 2018

MKSAP Quiz: Evaluation for a new-patient visit

A 55-year-old woman is evaluated for a new-patient visit. Medical history is significant for an eating disorder. Although she has maintained a normal weight for the past 20 years, she notes that prior to that time her weight would fluctuate in a range correlating with BMIs of 17 to 19. Family history is significant for postmenopausal osteoporosis in her mother. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2018/03/27/3.htm
27 Mar 2018

MKSAP Quiz: Follow-up visit for systemic lupus erythematosus

A 30-year-old woman is evaluated during a follow-up visit for systemic lupus erythematosus. She was diagnosed 3 months ago after presenting with pericarditis and arthritis. She was initially treated with prednisone, 40 mg/d, with improvement of her presenting symptoms. The prednisone has been tapered over 3 months to her current dose of 10 mg/d with no recurrence. Following a physical and cardiac exam, what is the most appropriate next step in treating this patient?
https://immattersacp.org/weekly/archives/2018/03/06/3.htm
6 Mar 2018

Action, advocacy, partnering for falls

Partnering with patients can make a big difference in preventing falls, which can result in lingering disability.
https://immattersacp.org/archives/2018/03/action-advocacy-partnering-for-falls.htm
1 Mar 2018

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