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MKSAP Quiz: 6-week history of blisters

A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease. The patient does not use tobacco but drinks 6 beers daily. He takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/09/mksap-quiz-6-week-history-of-blisters.htm
1 Sep 2017

MKSAP Quiz: preoperative evaluation for knee replacement

A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/10/28/3.htm
28 Oct 2014

Warning on medication confusion, recalls due to sterility

This update covers possible confusion between an antidepressant and an anti-clotting drug, as well as 2 sterility warnings.
https://immattersacp.org/archives/2015/10/fda.htm
1 Oct 2015

Task Force recommends screening all adults for alcohol misuse

Clinicians should screen all adults 18 and over, including pregnant women, for alcohol misuse and should provide brief behavioral counseling interventions to patients engaged in risky or hazardous drinking, the U.S. Preventive Services Task Force recently announced.
https://immattersacp.org/weekly/archives/2013/05/14/2.htm
14 May 2013

Wrestling with wearables that screen for afib

Experts remain uncertain how to judge wearables and smartphone apps' cost-effectiveness, data quality, and clinical implications among pre-symptomatic patients diagnosed with atrial fibrillation.
https://immattersacp.org/archives/2020/02/wrestling-with-wearables-that-screen-for-afib.htm
1 Feb 2020

MKSAP Quiz: 6-month history of abdominal pain

This week's quiz asks readers to evaluate a 35-year-old woman with a 6-month history of right upper quadrant abdominal pain.
https://immattersacp.org/weekly/archives/2012/02/14/3.htm
14 Feb 2012

Take time to discuss women's sexual health

A women's sexual health equates to her overall health, and internists should ask about it and refer for it when needed.
https://immattersacp.org/archives/2019/10/take-time-to-discuss-womens-sexual-health.htm
1 Oct 2019

ACP disagrees with Florida court decision preventing physicians from asking about guns

ACP strongly disagrees with the July 25 Florida court decision upholding a state law that bars doctors from asking patients about gun ownership, according to a press release.
https://immattersacp.org/weekly/archives/2014/08/05/7.htm
5 Aug 2014

How to start and stop bisphosphonates

A new online tool and a few simple rules can inform internists how to start bisphosphonates and when to consider taking a drug holiday at the request of another physician, a dentist or even the patient.
https://immattersacp.org/archives/2013/06/bisphosphonates.htm
1 Jun 2013

MKSAP Quiz: Evaluation for increasing fatigue

An 81-year-old man is evaluated for increasing fatigue. He has no other symptoms to report. Medical history is significant for diabetes mellitus and hypertension. He does not drink alcohol or smoke. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next to evaluate this patient's anemia?
https://immattersacp.org/archives/2019/09/mksap-quiz-evaluation-for-increasing-fatigue.htm
1 Sep 2019

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