Search results for "Rheumatology"
PERSPECTIVES 4 ACP Internist Last November, the debate over ...
internal medicine and rheumatology. Last year, ACP released new evidence-based guidelinesoffering recommendations on diagnosis and treatment of gout, but it was a lack of a recom-mendation that actually caused
https://immattersacp.org/archives/2017/04/acpi-201704-dynamed_t1.pdf
23 Mar 2017
MKSAP Quiz: 3-day history of left knee pain, swelling
A 43-year-old woman is evaluated for a 3-day history of left knee pain and swelling. Similar episodes have occurred in either knee as well as the left wrist during the past 2 years. Following a physical exam, radiographs, and joint aspiration of the left knee, what laboratory study will most likely identify the cause of this patient's symptoms?
https://immattersacp.org/weekly/archives/2021/03/16/3.htm
16 Mar 2021
Obituaries
Winthrop Fish, FACP; Coy D. Fitch, MACP; and Edward D. “Ted” Harris, MACP.
https://immattersacp.org/archives/2010/07/obituaries.htm
1 Jul 2010
Portable ultrasound scopes out a new role
Enthusiasts argue that point-of-care ultrasonography extends the scope of the physical exam far beyond what can be auscultated through a stethoscope. Detractors worry about overdiagnosis and a loss of medical skills that have intrinsic value. Both sides seek balance when considering how to use this new technology.
https://immattersacp.org/archives/2014/05/ultrasound.htm
1 May 2014
MKSAP Quiz: Red, scaly skin lesions
A 37-year-old man is evaluated for a 4-month history of progressively worsening red, scaly lesions involving the scalp, trunk, and extremities. During the past month, he also has had pain in the hands and feet and has lost 4.5 kg (10.0 lb). Aspirin and acetaminophen have helped to relieve his joint symptoms. He does not drink alcoholic beverages, has no other medical problems, and takes no additional medications. He denies allergies. He has sex with men and women and uses condoms inconsistently. What diagnostic studies should be performed next in this patient?.
https://immattersacp.org/archives/2011/03/mksap.htm
1 Mar 2011
MKSAP Quiz: joint pain and plaque psoriasis
A 44-year-old man is evaluated for a 2-year history of joint pain in the wrists, hands, knees, ankles, and feet. He also has a 12-year-history of plaque psoriasis. There are large erythematous plaques with an overlying silvery scale on the elbows, knees, sacrum, and scalp. The wrists are swollen and warm bilaterally, and there is bilateral synovitis of the metacarpophalangeal joints. There are effusions on both knees. The appearance of the toes is shown. The patient refuses to begin therapy with tumor necrosis factor ##alpha; inhibitors because of concern about possible side effects. What is the most appropriate treatment for this patient?.
https://immattersacp.org/archives/2010/11/mksap.htm
1 Nov 2010
Battling the hydra of the medical-industrial complex
ACP leadership has developed a new vision for the future of American health care in order to achieve universal coverage and improve access, reduce costs, improve the dysfunctional payment system, and reduce administrative burdens and excessive complexity.
https://immattersacp.org/archives/2020/04/battling-the-hydra-of-the-medical-industrial-complex.htm
1 Apr 2020
Elusive Sjogren's manageable—if diagnosed
Lack of awareness compounds a condition that is exceedingly difficult to diagnose. Experts offer signs and symptoms for ruling it out or diagnosing it more quickly.
https://immattersacp.org/archives/2009/03/sjogrens.htm
1 Mar 2009
Are internists team leaders or orchestra conductors?
Experience gained during residency training alongside so many other specialists and a role as care coordinators makes internal medicine specialists become uniquely qualified to serve as the conductor of this patient care orchestra.
https://immattersacp.org/archives/2019/11/are-internists-team-leaders-or-orchestra-conductors.htm
1 Nov 2019
MKSAP Quiz: 2-week history of gradually increasing pain
A 75-year-old woman is evaluated for a 2-week history of gradually increasing pain in both shoulders and hips; the pain radiates down both arms to the elbows and down both hamstrings to the knees. She reports no headache, jaw claudication, or vision changes. She was diagnosed with polymyalgia rheumatica 3 months ago. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/03/24/3.htm
24 Mar 2020