Search results for "Rheumatology"
New gout guidelines and 'treat to target'
Guidelines by ACP and by rheumatology societies disagree on the treat-to-target approach to therapy.
https://immattersacp.org/archives/2017/04/gout.htm
1 Apr 2017
Giant-cell arteritis needs prompt action for good outcomes
The differential diagnosis of this condition can be challenging because many conditions can mimic it.
https://immattersacp.org/archives/2021/05/giant-cell-arteritis-needs-prompt-action-for-good-outcomes.htm
1 May 2021
Osteoarthritis can ease with easy changes
An optimal regimen starting with nonpharmacologic measures can help patients achieve notable relief.
https://immattersacp.org/archives/2021/05/osteoarthritis-can-ease-with-easy-changes.htm
1 May 2021
MKSAP Quiz: Painless intermittent bloody urine
A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks' duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for 3 years and oral cyclophosphamide for 1 year. Following a physical exam, lab studies, and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/06/12/3.htm
12 Jun 2018
Obituary
Robert “Bob” B. Gibbons, MD, MACP, died on March 13, 2019, at age 81.
https://immattersacp.org/archives/2019/04/obituary.htm
1 Apr 2019
MKSAP Quiz: Follow-up visit for systemic lupus erythematosus
A 30-year-old woman is evaluated during a follow-up visit for systemic lupus erythematosus. She was diagnosed 3 months ago after presenting with pericarditis and arthritis. She was initially treated with prednisone, 40 mg/d, with improvement of her presenting symptoms. The prednisone has been tapered over 3 months to her current dose of 10 mg/d with no recurrence. Following a physical and cardiac exam, what is the most appropriate next step in treating this patient?
https://immattersacp.org/weekly/archives/2018/03/06/3.htm
6 Mar 2018
MKSAP Quiz: Progressive malaise and weakness, aches, and stiffness
A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness. He recently noted aching in his jaw when chewing and reports new left-sided headaches. His erythrocyte sedimentation rate is elevated. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2019/11/26/3.htm
26 Nov 2019
MKSAP Quiz: 2-week history of fatigue, poor appetite, arthralgia, and rash
A 19-year-old woman is evaluated for a 2-week history of fatigue, poor appetite, arthralgia of the hands and knees, and a rash, all of which appeared 1 day after a beach trip. After physical exam, lab studies, and kidney ultrasound, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2023/01/17/3.htm
17 Jan 2023
MKSAP Quiz: Evaluation for left lower extremity ulcer
A 50-year-old man is evaluated for a left lower extremity ulcer. He has a 15-year history of worsening arthritis for which he has never been evaluated. He takes ibuprofen as needed. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/08/27/3.htm
27 Aug 2019
IDSA offers criteria on testing for COVID-19; new research looks at clots, treatments
The Infectious Diseases Society of America (IDSA) released guidance for COVID-19 testing among inpatients and outpatients, while studies offered further support for anticoagulation but showed no benefit from hydroxychloroquine or lopinavir-ritonavir.
https://immattersacp.org/weekly/archives/2020/05/12/1.htm
12 May 2020