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MKSAP Quiz: Evaluation for osteoporosis

A 78-year-old woman is evaluated for osteoporosis. She was diagnosed 5 years ago following a fragility fracture in the left hip. Following medical treatment and dual-energy x-ray absorptiometry, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/04/19/3.htm
19 Apr 2022

PDE5 inhibitors didn't increase cardiovascular events in men on nitrates for heart disease

A Danish study also found that more men with ischemic heart disease are taking both nitrates and a phosphodiesterase type 5 (PDE5) inhibitor, with the prescription rate increasing 20-fold from 2000 to 2018.
https://immattersacp.org/weekly/archives/2022/04/19/1.htm
19 Apr 2022

MKSAP Quiz: Follow-up for systemic lupus erythematosus

A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
https://immattersacp.org/weekly/archives/2022/04/05/3.htm
5 Apr 2022

Cardiac societies issue new joint guideline on management of heart failure

The updated guideline recommends sodium-glucose cotransporter-2 inhibitors for many heart failure patients, regardless of their diabetes status, among other changes.
https://immattersacp.org/weekly/archives/2022/04/05/2.htm
5 Apr 2022

Pinpointing primary hyperparathyroidism

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.
https://immattersacp.org/archives/2022/04/pinpointing-primary-hyperparathyroidism.htm
1 Apr 2022

Hypertension performance measure ‘flawed’

While ACP's Performance Measurement Committee considers the Controlling High Blood Pressure measure to be “high impact,” it determined after review in July 2021 that it does not support the measure due to uncertain validity.
https://immattersacp.org/archives/2022/04/hypertension-performance-measure-flawed.htm
1 Apr 2022

Physical activity program for older adults linked to long-term improvements in function

Older adults with reduced lower-limb physical functioning treated with a 12-month, group-based physical activity and behavior maintenance program had greater improvements in function than those who received educational sessions on healthy aging, an English trial found.
https://immattersacp.org/weekly/archives/2022/03/29/1.htm
29 Mar 2022

When to test, isolate, prescribe for outpatient COVID-19

Panelists at ACP and Annals of Internal Medicine's eighth virtual forum on COVID-19 discussed the latest recommendations and treatment options.
https://immattersacp.org/archives/2022/03/when-to-test-isolate-prescribe-for-outpatient-covid-19.htm
1 Mar 2022

NOACs linked to lower rates of diabetes complications than warfarin in patients with afib and diabetes

A retrospective study from Taiwan found that patients who received non-vitamin K antagonist oral anticoagulants (NOACs) developed fewer macrovascular and microvascular complications, had fewer glycemic emergencies, and were less likely to die than those who received warfarin.
https://immattersacp.org/weekly/archives/2022/02/15/2.htm
15 Feb 2022

Task Force finds insufficient evidence on screening for afib

The U.S. Preventive Services Task Force reviewed trials published since 2017 but did not deem them strong enough to show evidence of benefit or harm.
https://immattersacp.org/weekly/archives/2022/02/01/3.htm
1 Feb 2022

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