Search results for "Gastroenterology"
Regular use of PPIs linked to increased risk of type 2 diabetes
In an analysis of the Nurses' Health and Health Professionals studies, regular users of proton-pump inhibitors (PPIs) had a 24% higher risk of diabetes than nonusers, with longer duration of use associated with greater risk.
https://immattersacp.org/weekly/archives/2020/10/06/6.htm
6 Oct 2020
MKSAP Quiz: Episodic nausea, bloating, epigastric pain
A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021
MKSAP Quiz: Incidental gallbladder findings
A 65-year-old man is evaluated after a screening ultrasound for abdominal aortic aneurysm showed incidental gallbladder findings. He reports no symptoms. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/07/14/3.htm
14 Jul 2020
Obituary
Joel S. Levine, MD, MACP, died on Oct. 2 at the age of 73.
https://immattersacp.org/archives/2020/11/obituary.htm
1 Nov 2020
MKSAP Quiz: Follow-up for Barrett esophagus
A 65-year-old man is evaluated with upper endoscopy in follow-up for Barrett esophagus. He has had heartburn for more than 15 years, but his symptoms have been well controlled with daily omeprazole. Biopsies confirm evidence of Barrett esophagus with low-grade dysplasia. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/10/06/3.htm
6 Oct 2020
MKSAP Quiz: progressive, dull, epigastric pain
Statins may be cost-effective for lower-risk populations, model finds
https://immattersacp.org/weekly/archives/2010/10/05/3.htm
5 Oct 2010
Debates tackle clinical relevance of GI disorders
The conditions of ineffective esophageal motility and eosinophilic esophagitis underwent debate between experts about their clinical significance and best management practices.
https://immattersacp.org/archives/2021/07/debates-tackle-clinical-relevance-of-gi-disorders.htm
1 Jul 2021
MKSAP Quiz: Gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/11/08/3.htm
8 Nov 2016
Further evidence indicates screening colonoscopy reduces mortality and may detect more adenomas than fecal occult blood testing
Two new studies provided evidence of colonoscopy's effectiveness at detecting cancer and reducing mortality.
https://immattersacp.org/weekly/archives/2012/02/28/5.htm
28 Feb 2012
Array of symptoms can point to celiac
Celiac incidence has risen since the 1950s to today, so alert internists listen to the symptoms, get to the basis, and make accurate attributions to make the right diagnosis. A constellation of symptoms can point to a common underlying condition.
https://immattersacp.org/archives/2010/04/celiac.htm
1 Apr 2010