Search results for "Hematology"
MKSAP Quiz: 1-year history of headaches, redness, itching
An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She has hypertension and takes hydrochlorothiazide. Blood pressure is 160/90 mm Hg, BMI is 19, and abdominal examination shows splenomegaly. After laboratory studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/10/02/4.htm
2 Oct 2018
MKSAP Quiz: diagnosing hematologic abnormalities
This week's quiz asks readers to determine appropriate diagnostic testing for a 26-year-old woman admitted to the hospital with deep venous thrombosis.
https://immattersacp.org/weekly/archives/2011/11/15/3.htm
15 Nov 2011
MKSAP Quiz: Frequently fluctuating INRs
A 77-year-old woman is evaluated for frequently fluctuating INRs (<1.8 to >3.5) while taking warfarin therapy. She has undergone INR testing every 1 to 2 weeks and frequent warfarin dose adjustments. She reports a consistent dietary intake. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/05/01/3.htm
1 May 2018
MKSAP Quiz: evaluation for a self-detected lump under the arm
A 69-year-old woman is evaluated for a lump under her arm found on self-examination. She is otherwise healthy and has no other symptoms. Medical and family histories are unremarkable, and she takes no medications. A needle aspirate of the right axillary mass reveals adenocarcinoma. Bilateral mammography and breast MRI are normal. CT scan of the chest, abdomen, and pelvis demonstrates the enlarged axillary lymph node and no other abnormalities. What is the most appropriate initial treatment?
https://immattersacp.org/weekly/archives/2014/09/16/3.htm
16 Sep 2014
MKSAP case study: menorrhagia
A MKSAP case study of menorrhagia marks the return of this popular feature to ACP Internist.
https://immattersacp.org/archives/2008/09/mksap.htm
1 Sep 2008
MKSAP Quiz: Diabetic ketoacidosis
Based upon a physical exam and lab results, what is the most likely diagnosis?.
https://immattersacp.org/archives/2011/09/mksap.htm
1 Sep 2011
MKSAP Quiz: History of diffuse headache, fatigue
A 27-year-old woman is evaluated in the emergency department for a 2-day history of diffuse headache, fatigue, and gingival bleeding on brushing her teeth. She is otherwise healthy. She is alert and oriented but reports having a headache. Petechiae that had gone unnoticed by the patient are visible on the lower extremities. What is the most appropriate next step in management?.
https://immattersacp.org/archives/2012/07/mksap.htm
1 Jul 2012
MKSAP Quiz: 1-week history of headache
A 28-year-old woman is evaluated in the emergency department for a 1-week history of progressive headache associated with nausea and vomiting. Medical history is significant for HIV infection. She is nonadherent to her antiretroviral therapy regimen and takes no other medications. Following a physical exam, lab tests, and a CT scan of the head, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/01/mksap-quiz-1-week-history-of-headache.htm
1 Jan 2018
MKSAP Quiz: Fatigue, malaise, fever, and epistaxis
A 30-year-old woman is evaluated in the emergency department of a community hospital for a 2-week history of fatigue, malaise, low-grade fever, and intermittent epistaxis. Her husband states that she has been forgetful and occasionally confused during this period. Physical examination reveals bruises over the upper and lower extremities and palatal petechiae. Laboratory studies indicate a hemoglobin of 7.2 g/dL (72 g/L), leukocyte count of 9600/##mu;L (9.6 ##times; 109/L), platelet count of 12,000/##mu;L (12 ##times; 109/L), and serum lactate dehydrogenase concentration of 1700 U/L. The peripheral blood smear is shown. Plasma exchange is unavailable. What is the most appropriate next step in management?.
https://immattersacp.org/archives/2010/02/mksap.htm
1 Feb 2010
Obituary
ACP notes the passing of Robert H. Moser, MD, MACP, a former executive vice president of the College.
https://immattersacp.org/archives/2013/09/obituary.htm
1 Sep 2013