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?.
1 Jun 2013
More patients with atrial fibrillation who also receive hemodialysis are being prescribed dabigatran and rivaroxaban despite contraindications, according to a new study.
27 Jan 2015
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?
14 Apr 2015
The July/August issue of ACP Internist is now online and coming to your mailbox.
8 Jul 2014
Antidepressant may weaken effect of tamoxifen in patients with breast cancer
16 Feb 2010
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?
19 Mar 2013
Ultrasound may be an effective way to diagnose kidney stones with less radiation exposure, a study found.
23 Sep 2014
More specific information required in clinical documentation will lead to more efficient claims processing under the ICD-10 requirements that take effect in October.
1 Apr 2015
This week's quiz asks readers to evaluate a 42-year-old woman with progressive cervical lymphadenopathy, fatigue, night sweats, bilateral lower-extremity and abdominal wall edema, and weight gain.
6 Dec 2011
This week's quiz asks readers to evaluate a 22-year-old man with type 1 diabetes who has just run a marathon.
8 May 2012