Search results for "Nephrology"
MKSAP Quiz: follow-up visit for urinary frequency
A 48-year-old man is evaluated during a follow-up visit for urinary frequency. He reports no hesitancy, urgency, dysuria, or change in urine color. He has not experienced fevers, chills, sweats, nausea, vomiting, diarrhea, or other gastrointestinal symptoms. He feels thirsty very often; drinking water and using lemon drops seem to help. He has a 33-pack-year history of smoking. He has hypertension, chronic kidney disease, and bipolar disorder. Medications are amlodipine, lisinopril, and lithium. He has tried other agents in place of lithium for his bipolar disorder, but none has controlled his symptoms as well as lithium. What is the most appropriate treatment intervention for this patient?
https://immattersacp.org/weekly/archives/2014/09/30/3.htm
30 Sep 2014
Seeking common ground on CKD screening
ACP's 2013 guideline on screening, monitoring, and treatment of stage 1 to 3 chronic kidney disease (CKD) raised an immediate response from leaders of the American Society of Nephrology, which felt the College missed the big picture of CKD prevention when developing the guideline. Learn where the two organizations agree and disagree about screening for CKD.
https://immattersacp.org/archives/2014/07/ckdscreening.htm
1 Jul 2014
MKSAP Quiz: 3-month history of cervical lymphadenopathy
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.
https://immattersacp.org/weekly/archives/2011/12/06/3.htm
6 Dec 2011
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
MKSAP Quiz: Evaluation of a type 1 diabetic patient after a marathon
This week's quiz asks readers to evaluate a 22-year-old man with type 1 diabetes who has just run a marathon.
https://immattersacp.org/weekly/archives/2012/05/08/3.htm
8 May 2012
MKSAP Quiz: ED visit for agitated person
This week's quiz asks readers to evaluate a 32-year-old man who presents to the emergency department disoriented, combative and agitated.
https://immattersacp.org/weekly/archives/2012/03/20/3.htm
20 Mar 2012
Undiagnosed diseases program tries to crack the tough cases
When a condition stumps the experts, the experts turn to a center of last resort, the federal Undiagnosed Diseases Program at the National Institutes of Health. Medical teams take a “big picture” view and a fresh eye to pick up on what may have been missed.
https://immattersacp.org/archives/2012/05/mystery.htm
1 May 2012
Moderate to severe psoriasis may be associated with increased risk for chronic kidney disease
Moderate to severe psoriasis (more than 3% of body surface area affected) is associated with an increased risk of chronic kidney disease (CKD), independent of traditional risk factors such as diabetes and heart disease, a study found.
https://immattersacp.org/weekly/archives/2013/10/22/5.htm
22 Oct 2013
Cystatin C beats creatinine at predicting complications of kidney disease
Depression quality improvement program seeks participantsHelp choose the best name for ACP's advocacy program
https://immattersacp.org/weekly/archives/2010/12/21/6.htm
21 Dec 2010
MKSAP Quiz: 2-month history of fatigue, anorexia and weight loss
A 74-year-old woman is evaluated for a 2-month history of fatigue, anorexia, and a 6-kg (13.2-lb) weight loss. She was treated with chemotherapy for ovarian cancer 6 months ago. She also has hypertension managed with hydrochlorothiazide. Following a physical exam and lab results, what is the most likely cause of this patient's hyponatremia?
https://immattersacp.org/weekly/archives/2013/11/26/3.htm
26 Nov 2013