Search results for "Nephrology"
Dabigatran, rivaroxaban prescriptions increasing for dialysis patients with afib
More patients with atrial fibrillation who also receive hemodialysis are being prescribed dabigatran and rivaroxaban despite contraindications, according to a new study.
https://immattersacp.org/weekly/archives/2015/01/27/4.htm
27 Jan 2015
SGLT2 inhibitors change glucose dynamic
The kidney's role in glucose production is as a producer and consumer of it, as well as filtering and reabsorbing it. SGLT2 inhibitors change that dynamic, creating new mechanisms, benefits and risks, and uncertainties that internists should know about this new drug class.
https://immattersacp.org/archives/2015/02/sglt2.htm
1 Feb 2015
Improved BP control requires patients to change behavior
Physicians are working with patients on behavioral changes that might stave off the worst consequences of high blood pressure that occur later in life.
https://immattersacp.org/archives/2015/03/hypertension.htm
1 Mar 2015
Practice Tips PRACTICE MANAGEMENT Because of the increased granularity ...
insufficiency. The physician plans to monitor bloodurea nitrogen and creatinine levels for renalfunction and nephrology referral if neces-sary.
https://immattersacp.org/archives/2015/04/acpi-201504-coding_t1.pdf
23 Mar 2015
Documenting ICD-10-CM: What's new?
More specific information required in clinical documentation will lead to more efficient claims processing under the ICD-10 requirements that take effect in October.
https://immattersacp.org/archives/2015/04/coding.htm
1 Apr 2015
MKSAP Quiz: managing hypertension in a pregnant patient
A 38-year-old woman is evaluated during a follow-up visit. She has a history of well-controlled hypertension and type 1 diabetes mellitus. She is at 16 weeks' gestation with her first pregnancy. Prior to conception she was taking lisinopril, which was discontinued in anticipation of the pregnancy, and labetalol was initiated. Other medications are insulin glargine, insulin lispro, and a prenatal vitamin. Following a physical exam and lab studies, what is the most appropriate step in the management of this patient's hypertension?
https://immattersacp.org/weekly/archives/2015/04/14/3.htm
14 Apr 2015
MKSAP Quiz: 3-month history of swelling of the face, hands, and feet
A 53-year-old woman is evaluated for a 3-month history of swelling of the face, hands, and feet. She has untreated hepatitis C virus infection. She takes lithium for bipolar disorder. She has no additional symptoms. After a physical exam, lab results and kidney biopsy, what is the most likely cause of this patient's nephrotic syndrome?
https://immattersacp.org/weekly/archives/2015/05/19/3.htm
19 May 2015
Masked hypertension common in CKD, especially with elevated nighttime blood pressure
Masked hypertension occurs commonly in patients with chronic kidney disease and is associated with lower estimated glomerular filtration rate, proteinuria, and cardiovascular target organ damage.
https://immattersacp.org/weekly/archives/2016/03/01/3.htm
1 Mar 2016
MKSAP Quiz: Evaluation 4 months after a stroke
A 77-year-old woman is evaluated 4 months following a left middle cerebral artery ischemic stroke. The severity of her stroke required prolonged initial hospitalization and a 3-month stay in a rehabilitation center before returning home. Residual deficits include dense right-sided hemiparesis and dysphagia requiring oral feeding with thickened liquids. Following a physical exam and lab studies, what is the most likely cause of this patient's decreased serum creatinine level?
https://immattersacp.org/weekly/archives/2016/03/08/3.htm
8 Mar 2016
MKSAP Quiz: fatigue, anorexia, polyuria, and nocturia
A 54-year-old woman is evaluated for fatigue, anorexia, polyuria, and nocturia of several weeks' duration. She had otherwise felt well until the onset of her current symptoms. Medical history is significant for autoimmune pancreatitis diagnosed 1 year ago, treated with a prednisone taper that was completed 8 months ago with resolution of her symptoms. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/06/14/3.htm
14 Jun 2016