Search results for "Vitamins"
MKSAP Quiz: managing hypertension in a pregnant patient
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?
https://immattersacp.org/weekly/archives/2015/04/14/3.htm
14 Apr 2015
Guidelines diminish cholesterol worries
Physicians can expect questions from patients confused by a committee's report stating that dietary cholesterol should no longer be considered “a nutrient of concern for overconsumption.”.
https://immattersacp.org/archives/2015/06/cholesterol.htm
1 Jun 2015
Extended anticoagulant treatment prevents recurrent VTE after first unprovoked PE
An additional 18 months of warfarin treatment in patients with first unprovoked PE improves outcomes versus placebo, although the improvement was not sustained after anticoagulant treatment was discontinued.
https://immattersacp.org/weekly/archives/2015/07/14/2.htm
14 Jul 2015
Guidance issued on antibiotic use, fall prevention in long-term care
Antibiotic recommendations from the Centers for Disease Control and Prevention address leadership commitment, accountability, drug expertise, policy and practice change, tracking and reporting antibiotic use and outcomes, and education.
https://immattersacp.org/weekly/archives/2015/09/22/4.htm
22 Sep 2015
Calcium intake does not appear to decrease fracture risk in older patients
A new study indicates that calcium supplements with or without vitamin D do not protect older people in general from fractures, and an editorialist suggests that 700 to 800 mg of dietary calcium daily for adults is probably enough.
https://immattersacp.org/weekly/archives/2015/10/06/1.htm
6 Oct 2015
Weighing the options for bariatric surgery
Bariatric surgery may be an option for severely obese patients for whom lifestyle changes are not enough. Internists can set up expectations that may improve postsurgical outcomes.
https://immattersacp.org/archives/2016/01/obesity.htm
1 Jan 2016
Managing Alzheimer's disease when options are limited
Primary care physicians can expect to diagnose an increasing number of patients with Alzheimer's disease as the U.S. population ages. While clinicians have been more successful in diagnosing the disease early, effective treatments or prevention options are more scarce.
https://immattersacp.org/archives/2016/03/alzheimers.htm
1 Mar 2016
MKSAP Quiz: 1-year history of increasing urinary frequency
A 50-year-old man is evaluated for a 1-year history of increasing urinary frequency and urgency and occasional urge incontinence. He has no symptoms of urinary hesitancy or incomplete emptying. The patient has primary progressive multiple sclerosis. Medications are dalfampridine and vitamin D. Following a physical exam, gait testing, and urinalysis, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2016/03/15/3.htm
15 Mar 2016
Oral anticoagulants for stroke prevention may be underprescribed in outpatients with AF
Specialists were more likely to prescribe an oral anticoagulant as the number of stroke risk factors increased as measured by the CHADS2 and CHA2DS2-VASc scores, the study noted.
https://immattersacp.org/weekly/archives/2016/03/22/2.htm
22 Mar 2016
MKSAP Quiz: upper endoscopy for dyspepsia
A 68-year-old woman undergoes upper endoscopy for evaluation of dyspepsia. She has a history of pernicious anemia. She has no other medical problems and her only medication is oral vitamin B12. Upper endoscopy discloses a 6-mm polyp in the body of the stomach, which is removed by polypectomy. Pathologic examination of the polyp confirms a well-differentiated neuroendocrine tumor. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/04/26/3.htm
26 Apr 2016