Search results for "Vitamins"
Gluten not a bread-and-butter diagnosis
Internists have to sort through the symptoms of gluten sensitivity to confirm a diagnosis. Excluding celiac disease and wheat allergy is essential, as is managing the patient's expectations and lifestyle.
https://immattersacp.org/archives/2014/09/gluten.htm
1 Sep 2014
NSAIDs associated with increased risk of bleeding, cardiovascular events after MI
Compared to other NSAIDs, celecoxib and meloxicam were associated with a lower risk of bleeding or cardiovascular events among Korean patients who had a myocardial infarction (MI).
https://immattersacp.org/weekly/archives/2020/07/28/5.htm
28 Jul 2020
Diagnosing a disorder with few symptoms
Hypercalcemia can have absent, few or nondifferential symptoms, but the condition can indicate the presence of major diseases such as breast cancer. Experts review how to quickly apply a high index of suspicion to make a diagnosis.
https://immattersacp.org/archives/2012/03/hypercalcemia.htm
1 Mar 2012
MKSAP Quiz: Elevated blood pressure during pregnancy
A 28-year-old woman is evaluated during a follow-up visit for elevated blood pressure measurements during pregnancy. She is at 12 weeks' gestation of her first pregnancy. She feels well, and the pregnancy has been otherwise uncomplicated. Following a physical exam and lab studies, what is the most likely cause of this patient's elevated blood pressure?
https://immattersacp.org/weekly/archives/2020/05/19/3.htm
19 May 2020
MKSAP Quiz: 1-year history of daily afternoon fatigue
A 51-year-old woman with a 5-year history of multiple sclerosis is evaluated for a 1-year history of daily afternoon fatigue that necessitates frequent naps and impairs her concentration at work. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/05/21/3.htm
21 May 2019
Attribution error confounds a diagnosis after colon cancer
A rapid deterioration in mental status confounds a gastroenterologist following a patient for colon cancer. Following a hospital admission, the internal medicine resident reviews the patient's history for the clue to the right diagnosis.
https://immattersacp.org/archives/2010/07/mindful.htm
1 Jul 2010
No interventions proven to prevent late-life dementia, systematic reviews find
The reviews examined physical activity, prescription medications, cognitive training, and over-the-counter vitamins and supplements.
https://immattersacp.org/weekly/archives/2017/12/19/1.htm
19 Dec 2017
Crossed Words: Spitting into the wind
ACP Internist's puzzle feature challenges readers to find clues placed horizontally in rows to reveal an answer written vertically.
https://immattersacp.org/archives/2014/04/puzzle.htm
1 Apr 2014
ACR guideline recommends customized approach for prevention of glucocorticoid-induced osteoporosis
Recommendations include treating only with calcium and vitamin D in adults at low fracture risk, and adding an additional osteoporosis medication (oral bisphosphonate preferred) in adults at moderate to high fracture risk.
https://immattersacp.org/weekly/archives/2017/06/20/2.htm
20 Jun 2017
MKSAP Quiz: Evaluation for primary hyperparathyroidism
A 67-year-old man is evaluated for a recent diagnosis of primary hyperparathyroidism after an elevated serum calcium level was incidentally detected on laboratory testing. Medical history is significant only for hypertension, and his only medication is ramipril. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2017/02/14/3.htm
14 Feb 2017