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Topics:
General Internal Medicine
•
Rheumatology
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General Rheumatology
•
Infectious Disease
Should we feel comfortable starting anti-TNF therapy in an otherwise low risk patient with borderline IGRA?
Should a CXR be pursued? Is there a difference in sensitivity/specificity of different IGRAs?
Related Questions
Do you regularly recommend an immunological workup for patients with suspected immunodeficiency or defer to immunology?
Do you have to extend treatment for acute Lyme disease if a patient is on high dose steroids for another indication?
In light of recent measles outbreaks, have you adjusted your vaccination counseling or preventive strategies for adult immunocompromised patients?
How do you weigh the risks and benefits of GLP-1 RAs in patients over age 65 specifically in regards to loss of muscle mass and osteoporosis?
How do you approach patients who identify so strongly with being sick or with a particular diagnostic label that it makes up a significant portion of their identity?
Do you provide empiric doxycycline for Lyme Disease to asymptomatic patients after a tick bite who haven't developed Erythema migrans or are not sure it was an Ixodes tick?
How do you approach a patient with high titer ANA and a new diagnosis of ITP, but no other signs or symptoms suggestive of active rheumatologic disease?
How do you decide when to use acid-suppressive medications for GI prophylaxis when patients are on prolonged corticosteroid therapy?
How do you approach vaccination, particularly the use of live vaccines such as yellow fever, in a patient with rheumatoid arthritis receiving a TNF inhibitor who is planning travel to Africa?
What additional workup would you perform to evaluate a new onset of spontaneous hemarthrosis?