Search results for "Gastroenterology"
Long-term view for chronic pancreatitis
Unlike acute cases of pancreatitis, chronic cases present with varying degrees and types of pain, and without other clinical indicators such as calcification or damage to pancreatic ducts. It's best to refer to a gastroenterologist early to clarify the diagnosis, so the internist can better manage the patient.
https://immattersacp.org/archives/2014/01/pancreatitis.htm
1 Jan 2014
MKSAP Quiz: Fatigue, intermittent rectal bleeding, abdominal pain
A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since her symptoms started. She has no personal or family history of colon cancer or other cancers. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/11/13/3.htm
13 Nov 2018
MKSAP Quiz: Progressive dysphagia for 8 months
A 75-year-old man is evaluated for progressive dysphagia of 8 months' duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms and has lost weight. After physical exam, upper endoscopy, and manometry, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/09/25/3.htm
25 Sep 2018
MKSAP Quiz: 5-day history of abdominal pain
This week's quiz asks readers to evaluate a 32-year-old man who visits the emergency department for a 5-day history of worsening crampy abdominal pain and frequent loose bowel movements.
https://immattersacp.org/weekly/archives/2011/11/01/3.htm
1 Nov 2011
Patients getting PPIs from a gastroenterologist may have better symptom control
Patients receiving prescriptions for proton-pump inhibitors (PPIs) from a gastroenterologist are more likely to be optimal users and have better symptom control than those who are prescribed drugs by a primary care physician (PCP) or buy them over the counter, a study found.
https://immattersacp.org/weekly/archives/2014/06/17/2.htm
17 Jun 2014
How COVID-19 affects the liver
There is increasing evidence of direct, virally mediated liver injury caused by SARS-CoV-2, leading to enzyme elevations, lobular necroinflammation and/or portal interface hepatitis, and steatosis.
https://immattersacp.org/archives/2021/03/how-covid-19-affects-the-liver.htm
1 Mar 2021
MKSAP Quiz: 2-month history of diarrhea
A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/03/3.htm
3 Jul 2018
MKSAP Quiz: Abdominal pain for several months
A 56-year-old man is evaluated for right-upper-quadrant abdominal pain of several months' duration. He otherwise has been well. Following a physical exam, lab studies, and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/02/01/4.htm
1 Feb 2022
MKSAP Quiz: 4-year history of ulcerative colitis
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. What is the most appropriate interval at which to perform colonoscopy with biopsies in this patient?
https://immattersacp.org/weekly/archives/2016/11/15/3.htm
15 Nov 2016
MKSAP Quiz: 3-month history of 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 physical and abdominal exams, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/08/09/3.htm
9 Aug 2016