Search results for "Nephrology"
MKSAP Quiz: evaluation for acute kidney injury
A 57-year-old man is evaluated for a diagnosis of acute kidney injury. He was diagnosed with gastroesophageal reflux disease 3 weeks ago and was prescribed omeprazole. Several days ago he noticed lower extremity swelling and decreased frequency of urination. Laboratory evaluation showed a serum creatinine level of 2.2 mg/dL (194.5 µmol/L). Medical history is otherwise unremarkable. Following a physical exam and discontinuing omeprazole, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/09/13/3.htm
13 Sep 2016
MKSAP Quiz: Episode of blood in urine
A 37-year-old woman is evaluated for an episode of blood in her urine. She notes the passage of red-colored urine that resolved spontaneously and was not associated with her menstrual cycle. She reports having had several similar episodes in the past. She has no other symptoms such as abdominal pain or dysuria. Medical history is otherwise unremarkable, and she takes no medications. Following a physical exam and lab studies, what is the most appropriate next step in the evaluation of this patient?.
https://immattersacp.org/archives/2016/11/mksap.htm
1 Nov 2016
MKSAP Quiz: Follow-up examination for diabetes
A 54-year-old woman is evaluated during a follow-up examination. She has a 22-year history of type 2 diabetes mellitus complicated by sensory neuropathy and proliferative retinopathy, for which she has received laser photocoagulation. She also has hypertension and hyperlipidemia. Medications are metformin, glipizide, atorvastatin, and lisinopril, 20 mg/d. Following a physical exam and lab studies, what is the most appropriate management of this patient's hypertension?
https://immattersacp.org/weekly/archives/2016/12/20/3.htm
20 Dec 2016
MKSAP Quiz: Impaired gait and balance
A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough attention before tripping. In the past 6 months, he has had occasional problems recalling details of recent conversations and events, completing tasks around the house in a timely manner, and organizing and balancing his checkbook despite having been an accountant before retiring. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?
https://immattersacp.org/archives/2017/02/mksap.htm
1 Feb 2017
MKSAP quiz: Evaluation for recurrent nephrolithiasis
This week's quiz asks readers to determine the most appropriate additional treatment for a 28-year-old man with recurrent nephrolithiasis.
https://immattersacp.org/weekly/archives/2017/04/18/3.htm
18 Apr 2017
Questions, answers on certification
A session outlined how a new Maintenance of Certification process will work. Starting in 2018, eligible physicians certified in internal medicine will be offered the choice of taking an assessment every two years or every 10 years.
https://immattersacp.org/archives/2017/06/MOC.htm
1 Jun 2017
Weight loss, MOC featured in meeting coverage
This issue covers the wrap-up of news from Internal Medicine Meeting 2017.
https://immattersacp.org/archives/2017/06/editors.htm
1 Jun 2017
MKSAP Quiz: evaluation for elevated blood pressure
A 54-year-old man is evaluated for elevated blood pressure noted recently at a local health fair. On this visit and on two subsequent nurse visits, the patient's blood pressure measurements are less than 140/90 mm Hg. Following lab studies and an electrocardiogram, what is the next most appropriate step in management?
https://immattersacp.org/weekly/archives/2017/07/25/3.htm
25 Jul 2017
Assess for noncardiac complications in congenital heart disease survivors, AHA says
Physicians who care for adult patients with congenital heart disease should be mindful of the effects that the condition has on other organs, according to a scientific statement from the American Heart Association.
https://immattersacp.org/weekly/archives/2017/10/17/1.htm
17 Oct 2017
MKSAP Quiz: 2-month history of edema
A 28-year-old man is evaluated for a 2-month history of progressive lower-extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. He has no other known medical issues and takes no medications. Following a physical exam, lab studies, and kidney analysis, what test is most likely to establish the cause of this patient's focal segmental glomerulosclerosis?
https://immattersacp.org/weekly/archives/2018/02/06/3.htm
6 Feb 2018