A 27-year-old woman is evaluated for a 6-month history of fatigue, arthralgia, and myalgia. She has a history of urinary tract infections. Medications are an oral contraceptive pill and as-needed naproxen for pain. Following a physical exam, lab studies, and urine microscopy, what is the most likely diagnosis?
1 Apr 2019
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.
1 Mar 2016
This issue covers the wrap-up of news from Internal Medicine Meeting 2017.
1 Jun 2017
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?
8 Mar 2016
Differing statin guidelines are fairly concordant on use of the drugs in adults with chronic kidney disease (CKD), a study found.
25 Nov 2014
Physicians with widely disparate backgrounds and interests can function together and share a passion for expanding primary care under the auspices of a patient-centered medical home.
1 Jul 2010
When discussing the PCMH as a model for delivering health care in the U.S. three questions commonly arise.
1 Sep 2008
A 54-year-old woman is evaluated for a 4-week history of dyspnea on exertion, malaise, fatigue, and anorexia. History is significant for hypertension, gout, and osteoarthritis. Following a physical exam, lab studies, and chest radiograph, what is the most likely diagnosis?
27 Oct 2020
Readers respond to the ACP Internist cover story that questioned the value of the annual physical exam. Whether they are for or against the practice, their opinions are strongly held.
1 Mar 2010
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?
19 May 2015