Search results for "Rheumatology"
MKSAP Quiz: 2-year history of low libido
A 37-year-old man is evaluated for a 2-year history of low libido, loss of morning erections, fatigue, and decreasing muscle mass. His medical history is otherwise unremarkable. He takes no medications. A physical exam, lab studies, and pituitary MRI are done. Before starting therapy for this patient, what else should be determined?
https://immattersacp.org/weekly/archives/2017/05/09/3.htm
9 May 2017
MKSAP Quiz: 1-year history of fatigue, headaches, sore throat
A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/06/27/3.htm
27 Jun 2017
Fibromyalgia characterized by controversy
There is very clear, objective evidence that fibromyalgia is a real problem. But there remains considerable dissent among the medical community about the condition's cause.
https://immattersacp.org/archives/2016/09/fibromyalgia.htm
1 Sep 2016
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2020/02/latest-updates-on-acps-priorities-initiatives.htm
1 Feb 2020
MKSAP Quiz: Evaluation for confusion
A 63-year-old man is evaluated in the ED for confusion. He recently visited an urgent care center for symptoms of an upper respiratory tract infection and was prescribed codeine-guaifenesin. Following a physical exam and administration of naloxone, what is the most likely cause of this patient's adverse drug reaction?
https://immattersacp.org/weekly/archives/2022/12/06/4.htm
6 Dec 2022
The importance of ‘the caring’
The fragmented health delivery system in which physicians maneuver can interfere with patients' perception of how much a clinician cares.
https://immattersacp.org/archives/2019/06/the-importance-of-the-caring.htm
1 Jun 2019
Guideline released on rheumatoid arthritis treatment
Among other recommendations, the guideline panel recommended a treat-to-target approach rather than a nontargeted approach in patients with early symptomatic RA and those with established RA, regardless of disease activity.
https://immattersacp.org/weekly/archives/2015/11/24/4.htm
24 Nov 2015
MKSAP Quiz: 4-week history of joint pain, rash
A 33-year-old woman is evaluated for a 4-week history of recurrent worsening joint pain and a new rash on the chest and upper back. She reports sun exposure from spending time at the beach. Following a physical exam, what is the most likely diagnosis for the rash?
https://immattersacp.org/archives/2021/05/mksap-quiz-4-week-history-of-joint-pain-rash.htm
1 May 2021
Noninvasive treatment almost always best for knee pain
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
https://immattersacp.org/archives/2016/04/knees.htm
1 Apr 2016
MKSAP Quiz: 8-year history of joint pain
A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2017/05/mksap.htm
1 May 2017