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MKSAP Quiz: maintaining bone health

A 54-year-old woman comes to the office for advice regarding maintaining bone health. She has no history of fracture. The patient recently had a lumpectomy and radiation therapy to treat breast cancer, is currently taking tamoxifen, and will begin taking an aromatase inhibitor in 2 months. She underwent menopause at age 52 years and has persistent hot flushes. Her risk factors for osteoporosis include a slim body habitus and a mother who had a hip fracture at age 67 years. Following a physical exam, lab results and a dual-energy x-ray absorptiometry scan, what pharmacologic agents can be started in this patient?
https://immattersacp.org/weekly/archives/2015/03/10/3.htm
10 Mar 2015

‘PharManure’ and some drugs to hate the most

Drugs that made this doctor's least-most-wanted list, presented at Internal Medicine 2012, included those that increase costs without improving care, or that raise the risk of antibiotic resistance.
https://immattersacp.org/archives/2012/06/pharmanure.htm
1 Jun 2012

Hip fractures among nursing home residents are associated with high mortality rates, functional decline

The frequently poor outcomes of nursing home residents who have a hip fracture were quantified by a new study.
https://immattersacp.org/weekly/archives/2014/07/01/2.htm
1 Jul 2014

PPI's benefits can outweigh their possible risks

The key to proper use of proton-pump inhibitors is monitoring patients closely to determine if they are benefitting from long-term therapy, or could potentially discontinue or reduce their dose.
https://immattersacp.org/archives/2012/10/PPIs.htm
1 Oct 2012

MKSAP Quiz: mass in the right neck

A 38-year-old man is evaluated for a mass in his right neck that he first noticed 2 weeks ago while shaving. The patient also reports experiencing a pressure sensation when swallowing solid foods for the past year and daily diarrhea for the past 2 months. His personal medical history is unremarkable. His younger brother has nephrolithiasis, and his father died of a hypertensive crisis and cardiac arrest at age 62 years while undergoing anesthesia induction to repair a hip fracture. Following a physical exam, lab studies, and a chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/11/18/3.htm
18 Nov 2014

New research creates debates on calcium's benefits vs. risks

It has been a longstanding assumption in medicine that calcium, to paraphrase the milk commercial, does a body good.
https://immattersacp.org/archives/2011/01/calcium.htm
1 Jan 2011

Repeat bone mineral density tests during osteoporosis treatment may help identify women at increased fracture risk, study finds

Monitoring bone mineral density in routine clinical practice may identify women with a suboptimal response to osteoporosis treatment who would benefit from closer follow-up, researchers noted.
https://immattersacp.org/weekly/archives/2016/07/19/1.htm
19 Jul 2016

Internists play important role in diagnosing, treating MS

A round-up of this issue's articles on multiple sclerosis; conference coverage from Digestive Disease Week; our latest columns.
https://immattersacp.org/archives/2009/09/editors.htm
1 Sep 2009

Hip fractures increase mortality five- to eightfold, more so in men

Hip fractures increase mortality five- to eightfold, more so in men
https://immattersacp.org/weekly/archives/2010/03/16/1.htm
16 Mar 2010

Does ACA coverage really make a difference?

Patients with health insurance have better outcomes and enjoy better quality of life. The Affordable Care Act is offering more people access, even though cost-sharing may still put better care out of reach.
https://immattersacp.org/archives/2015/03/washington.htm
1 Mar 2015

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