Search results for "Nephrology"
MKSAP Quiz: follow-up visit for nephrolithiasis
A 54-year-old man is evaluated during a follow-up visit for five previous episodes of nephrolithiasis. Two of these stones were composed primarily of uric acid. After his third episode, potassium citrate was initiated. Medical history is notable for type 2 diabetes mellitus, hypertension, and hyperlipidemia. Following a physical exam and lab results, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2013/08/27/3.htm
27 Aug 2013
Analysis notes that CKD guidelines may lead to overdiagnosis, overtreatment
The current definition of chronic kidney disease (CKD) based on estimated glomerular filtration rate (eGFR) has led to one in eight people being labeled as having the condition, compared to the actual treatment rate of one person for every 3,000 to 5,000 for end-stage renal disease (ESRD), a recent analysis found.
https://immattersacp.org/weekly/archives/2013/08/06/4.htm
6 Aug 2013
Appropriate use criteria offered for noninvasive vascular tests of more than 100 clinical scenarios
Eleven medical societies drafted detailed criteria to help clinicians optimize the appropriate use of noninvasive vascular tests in patients with known or suspected disorders of the venous system, such as venous insufficiency; varicose veins; blood clots in the leg, arm or abdomen; and pulmonary embolism.
https://immattersacp.org/weekly/archives/2013/07/23/4.htm
23 Jul 2013
MKSAP Quiz: 3-day history of lower abdominal pain, watery diarrhea
A 26-year-old man is evaluated for a 3-day history of fever, lower abdominal pain, tenesmus, hematochezia, and watery diarrhea. Seven months ago, he underwent a cadaveric kidney transplantation from a transplant donor who was seropositive for cytomegalovirus. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2013/06/11/3.htm
11 Jun 2013
MKSAP Quiz: High BP and oral contraception
A 27-year-old woman is evaluated during a follow-up visit for high blood pressure that manifested 4 months after she began taking an oral contraceptive pill. Despite stopping the oral contraceptive pill, her blood pressure has remained high. Following a physical exam, lab results and a kidney angiogram, what is the most appropriate next step in management?.
https://immattersacp.org/archives/2013/06/mksap.htm
1 Jun 2013
Look before leaping into a large health system
Many physicians are leaving private practice and turning to large health systems to give them breathing room to care for their patients and restore work-life balance. But before making the leap, physicians should ensure that the move is the best one.
https://immattersacp.org/archives/2013/05/transitions.htm
1 May 2013
MKSAP Quiz: following chemotherapy in the hospital
A 51-year-old man is being followed in the hospital after receiving chemotherapy for acute myeloid leukemia 1 day ago. Kidney function was normal at the start of his treatment, which consisted of normal saline at a rate of 200 mL/h and rasburicase on the day of chemotherapy. Following a physical exam and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/03/19/3.htm
19 Mar 2013
The next issue of ACP Internist is online and coming to your mailbox
The November issue of ACP Internist features stories about individualized treatment goals for diabetics, how to discuss dieting and weight management, and ways to diagnose skin and soft tissue infections.
https://immattersacp.org/weekly/archives/2012/11/06/8.htm
6 Nov 2012
‘Goldilocks' goal for diabetes and CKD
Managing kidney disease in diabetes requires meeting individualized parameters and balancing risks in nephrology and cardiology. Learn whether more aggressive treatment is warranted in this population.
https://immattersacp.org/archives/2012/11/diabetes.htm
1 Nov 2012
Two models may offer accurate assessment of GFR in older adults
Two newly developed estimates of glomerular filtration rate (GFR) may provide more accurate assessment of kidney function in older adults, a study found.
https://immattersacp.org/weekly/archives/2012/10/02/4.htm
2 Oct 2012