Search results for "Antibiotics"
MKSAP Quiz: Acute worsening of atopic dermatitis
A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly and triamcinolone ointment and washing with gentle cleansers without improvement. Following a physical exam, what is the most likely cause of this patient's acute flare?
https://immattersacp.org/weekly/archives/2018/03/20/3.htm
20 Mar 2018
Recurrent C. difficile infections more than doubled between 2001 and 2012
Risk factors for recurrence include age; sex; and use of antibiotics, proton pump inhibitors, or corticosteroids. These factors could adjust treatment algorithms for high-risk patients, including earlier use of fecal transplant.
https://immattersacp.org/weekly/archives/2017/07/11/5.htm
11 Jul 2017
MKSAP Quiz: 3-year history of dyspnea, cough
A 69-year-old man is evaluated for a three-year history of dyspnea and chronic productive cough. He was diagnosed with chronic obstructive pulmonary disease (COPD) two years ago and has been treated for three exacerbations in the past year. He is taking tiotropium, fluticasone/salmeterol, and albuterol inhalers. Which long-term treatment is most likely to reduce exacerbations?
https://immattersacp.org/weekly/archives/2019/03/05/3.htm
5 Mar 2019
MKSAP Quiz: Pain in the buttocks region
A 79-year-old man is evaluated for pain in the buttocks region. He has been bedbound at home during lymphoma treatment. He describes the pain as severe when sitting and has difficulty finding a comfortable position lying down as well. He has the least pain when standing, but he is unable to stand for very long. Following a physical exam and discovery of a lesion, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/10/3.htm
10 Jul 2018
MKSAP Quiz: Evaluation for constipation
A 35-year-old woman is evaluated for constipation. She reports passage of hard stool every 3 to 4 days and associated bloating. Her symptoms have been present for more than 10 years and have progressed gradually. On physical examination, vital signs and other findings are normal. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/01/15/3.htm
15 Jan 2019
Vitamin E acetate linked to vaping-associated lung injury
The total number of reported vaping-associated lung injury cases mounted to 2,172, the CDC found vitamin E acetate in biologic samples for the first time, and authors of an observational study of vaping-related illness emphasized that patients may present with flu-like and abdominal symptoms.
https://immattersacp.org/weekly/archives/2019/11/19/1.htm
19 Nov 2019
SGLT-2 inhibitors not associated with increased risk for severe UTIs
An accompanying editorial said that while the study's finding is reassuring, it should be considered with caution, especially since high-risk patients and those with previous urinary tract infections (UTIs) were excluded.
https://immattersacp.org/weekly/archives/2019/07/30/1.htm
30 Jul 2019
MKSAP Quiz: 1 week of urinary incontinence
An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever, or back pain. Medical history is significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. Her only medication is amlodipine. Following a physical exam and urine dipstick result, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/24/3.htm
24 Jul 2018
MKSAP Quiz: 2-month history of diarrhea
A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/03/3.htm
3 Jul 2018
Increasing resistance of Shigella to ciprofloxacin prompts new CDC guidance
The agency has found an increase in Shigella isolates in the U.S. with minimum inhibitory concentration values between 0.12 and 1 µg/mL for ciprofloxacin.
https://immattersacp.org/weekly/archives/2017/04/25/1.htm
25 Apr 2017