Search results for "Antibiotics"


 
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MKSAP Quiz: pre-procedural evaluation

A 46-year-old woman is evaluated before undergoing a dental cleaning procedure involving deep scaling. She has a history of mitral valve prolapse without regurgitation and also had methicillin-resistant Staphylococcus aureus (MRSA) aortic valve endocarditis 10 years ago treated successfully with antibiotics. The patient notes an allergy to penicillin characterized by hypotension, hives, and wheezing. The remainder of the history is noncontributory. Following a physical and cardiopulmonary examination, what is the most appropriate prophylactic regimen for this patient before her dental procedure?
https://immattersacp.org/weekly/archives/2014/12/23/3.htm
23 Dec 2014

Problems and potential with probiotics

Probiotics are becoming more prevalent in both consumer and health care settings, but the excitement is tempered by problems, including how to define what is and what isn't one.
https://immattersacp.org/archives/2018/01/problems-and-potential-with-probiotics.htm
1 Jan 2018

Screen at-risk patients for syphilis, USPSTF draft statement recommends

The draft statement is open for public comment until Jan. 18.
https://immattersacp.org/weekly/archives/2015/12/22/5.htm
22 Dec 2015

Benefits of clearly defining value in patient care

Physicians have always been charged as agents to advocate for patients' best interests. Simultaneously, however, they are tasked with considering using resources wisely. These commitments can sometimes conflict and create tradeoffs in clinical decision making.
https://immattersacp.org/archives/2015/11/policy.htm
1 Nov 2015

MKSAP Quiz: 1 week of urinary incontinence

An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever, or back pain. Medical history is significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. Her only medication is amlodipine. Following a physical exam and urine dipstick result, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/24/3.htm
24 Jul 2018

Spotting syphilis, other STIs in the internist's office

Some patients need more than just routine screening for sexually transmitted infections (STIs). Accurate diagnosis and timely treatment can improve quality of life while preventing re-infection.
https://immattersacp.org/archives/2016/07/STIs.htm
1 Jul 2016

MKSAP Quiz: 2-month history of diarrhea

A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/03/3.htm
3 Jul 2018

MKSAP Quiz: Evaluation for chronic cough

A 42-year-old man is evaluated in the office for chronic cough. He first developed a cough 3 years ago. It is productive of clear to yellow sputum that is occasionally blood-tinged. Following a physical exam and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/07/mksap-quiz-evaluation-for-chronic-cough.htm
1 Jul 2020

MKSAP Quiz: Abdominal pain and loose stools in ulcerative colitis

A 32-year-old man is evaluated in the emergency department for a 5-day history of worsening crampy abdominal pain and eight to ten loose bowel movements a day. The patient has a 5-year history of ulcerative colitis treated with azathioprine and topical mesalamine, and recently had sinusitis that resolved with antibiotic therapy. What is the most appropriate next step in the management of this patient?
https://immattersacp.org/weekly/archives/2011/05/17/3.htm
17 May 2011

MKSAP Quiz: 2-day history of increasing pain

A 30-year-old woman is evaluated for a 2-day history of increasing pain in the right antecubital fossa and biceps. She reports daily injection drug use. Medical history is otherwise unremarkable, and she takes no prescription medications. The right biceps area is extremely tender and warm, with multiple track marks, woody induration, edema, and overlying ecchymotic bullous lesions. In addition to emergent surgical evaluation, which of the following is the most appropriate empiric treatment?
https://immattersacp.org/weekly/archives/2016/03/01/4.htm
1 Mar 2016

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