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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

No link seen between calcium intake with or without vitamin D and CVD in healthy adults

Obtaining calcium from food rather than supplements is preferred, but supplements can be used safely in patients whose calcium intake is not sufficient, the report said.
https://immattersacp.org/weekly/archives/2016/10/25/1.htm
25 Oct 2016

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

Managing medications in patients with heart failure

Internists can provide a medical home to patients with heart failure so that medications and supplements are regularly assessed and managed, according to experts.
https://immattersacp.org/archives/2017/02/medications.htm
1 Feb 2017

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

New drugs approved for C. diff, HIV

This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2023/02/new-drugs-approved-for-c-diff-hiv.htm
1 Feb 2023

What works well for weight loss

Nutrition and weight loss have become crucial issues to internists. Learn how one specialist manages her patients.
https://immattersacp.org/archives/2017/06/obesity.htm
1 Jun 2017

Higher-dose vitamin D did not improve fall prevention, study finds

Elderly patients at high risk for falls who received 1,000 IU of a vitamin D supplement per day actually had higher risk of falls that were serious or required hospitalization than those who took 200 IU.
https://immattersacp.org/weekly/archives/2020/12/08/5.htm
8 Dec 2020

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

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