A 44-year-old woman is evaluated during a follow-up visit for chronic hypertension. Over the past month, her average blood pressure measured with home blood pressure monitoring was 150/90 mm Hg. Following a physical exam and lab tests, what is the most appropriate next step in management?
11 Oct 2022
ACP is launching a new campaign to educate about the depth and diversity of internal medicine and highlight the value that all internal medicine physicians bring to health care.
1 Sep 2022
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
19 Jul 2022
With targeted testing, especially in those who present with kidney stones and bone density issues, internists can help patients with this disorder get appropriate care.
1 Apr 2022
Patients randomized to a physical activity and exercise intervention had statistically significantly lower decline in estimated glomerular filtration rate over two years versus those who received health education, a recent analysis found.
10 May 2022
PHILADEPHIA—Tight glucose control appears beneficial in preventing kidney function decline in newly diagnosed type 1 diabetics, but not so helpful for diabetics who already have kidney failure, according to data presented at the annual meeting of the American Society of Nephrology.
15 Nov 2011
ACP remembers College leaders.
1 Jan 2022
A 35-year-old woman is evaluated during a follow-up visit for recurrent microscopic hematuria without proteinuria. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
8 Mar 2022
A 72-year-old man is evaluated for an ulcerating, painful lesion on his left calf that began as a patch of red skin 2 to 3 weeks ago. He has dialysis-dependent end-stage kidney disease, atrial fibrillation, and hypertension. Following a physical exam and other tests, what is the most likely diagnosis?
1 Feb 2022
Equation for kidney failure risk that excludes race shows better sensitivity, specificity than eGFR alone
The four-variable equation includes age, sex, estimated glomerular filtration rate (eGFR), and urinary albumin-creatinine ratio.
11 Jan 2022