Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 21-year-old woman is evaluated for a 3-week history of painful nodules and a rash in the lower extremities, along with pain and swelling of the wrists, knees, and ankles. She reports a low-grade fever and a 2.7-kg (6.0-lb) weight loss since the onset of symptoms. She has taken naproxen with some ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 59-year-old man is evaluated for a 6-month history of gout. He was doing well on colchicine and allopurinol but developed hypersensitivity to allopurinol, which resolved with cessation of the agent. He then began to have more frequent gout flares; two flares occurred in the past month and were treated with prednisone. ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 29-year-old woman is evaluated during a routine examination. She seeks advice in reducing her personal risk of developing rheumatoid arthritis, because her mother was recently diagnosed with the disorder. The patient is asymptomatic. She has a 10-pack-year history of smoking and consumes six alcoholic beverages per week, usually on weekends. She ...

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medpagetodayFrom MedPage Today:

  1. Sudden Infant Death Risk Greater in Mountains. Babies born at a higher altitude faced a greater risk of sudden infant death syndrome (SIDS).
  2. Delayed Dx in Psoriatic Arthritis Worsens Damage, Disability. Patients with psoriatic arthritis (PsA) who delayed seeing a rheumatologist by more than 6 months were more likely ...

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medpagetodayFrom MedPage Today:

  1. Costly Hep C Tx Could Still Save Big Money. Treating genotype 1 (GT1) chronic hepatitis C (CHC) patients with ledipasvir/sofosbuvir (Harvoni) would result in an annual societal productivity gain of approximately $2.7 billion in the U.S.
  2. Workout May Ease Pain in Women With Fibromyalgia. A strong association exists between ...

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medpagetodayFrom MedPage Today:

  1. How to Rein In Out-of-Control Healthcare Costs. We all know the medical bill horror stories, but now we have to act on them.
  2. More ED Visits Since Obamacare. One objective of the Affordable Care Act was to increase access to primary care and curb visits to emergency rooms. Now ...

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medpagetodayFrom MedPage Today:

  1. ACP Prefers Cervical Cytology Over DNA Screens for Young Women. The American College of Physicians (ACP) said Pap smears should be the mainstay of cervical cancer screening in normal-risk women younger than 30, with molecular testing for human papilloma virus (HPV) reserved for older patients only.
  2. FDA Wants Data ...

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medpagetodayFrom MedPage Today:

  1. Peds Serve as Primary Prevention for Child Abuse. Physical abuse of children and infants is often difficult to diagnose, but can lead to lifelong physical and mental health disorders, according to a new clinical report from the American Academy of Pediatrics.
  2. Blood Test to Guide RA Tx Proves Cost ...

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medpagetodayFrom MedPage Today:

  1. Health IT: 'We Were Bound To Be Disappointed'. Robert Wachter, MD, works an hour north of Silicon Valley. Being surrounded by an "incredibly dynamic, vibrant IT ecosystem" contributed to a sense of disconnect for the associate chairman of medicine at the University of California San Francisco.
  2. Americans Miss WHO ...

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medpagetodayFrom MedPage Today:

  1. Methotrexate Helps Save Large Joints in RA. Patients with rheumatoid arthritis (RA) who received concomitant methotrexate with their tumor necrosis factor (TNF) inhibitor were less likely to need a large joint replacement than if they were on anti-TNF treatment alone.
  2. More U.S. Teens Opt for Birth Control With IUDs, ...

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