Search results for "Endocrinology"
MKSAP Quiz: 3-week history of fatigue, weight loss
A 58-year old woman is evaluated for a 3-week history of fatigue and weight loss. The patient has no significant medical history and takes no prescription medication, but she does take a daily over-the-counter multivitamin and a calcium supplement. She has a 50-pack-year smoking history. Following a physical exam, lab tests and chest radiograph, what is the most likely cause of her hypercalcemia?
https://immattersacp.org/weekly/archives/2013/07/23/3.htm
23 Jul 2013
ACP releases Spanish-language edition of MKSAP 18
The Spanish-language version will help Latin American and Spanish internists, subspecialists, and primary care physicians upgrade their knowledge and prepare for board certification.
https://immattersacp.org/weekly/archives/2019/12/17/6.htm
17 Dec 2019
MKSAP Quiz: Evaluation for episodic palpitations
A 34-year-old man is evaluated for episodic palpitations of 8 months' duration, usually associated with sweating and anxiety. Medical history is significant for thyroidectomy for medullary thyroid carcinoma diagnosed at 12 years of age. Following a physical exam and lab studies, in addition to the presenting diagnosis, which of the following disorders is this patient most likely to develop?
https://immattersacp.org/weekly/archives/2017/06/13/3.htm
13 Jun 2017
MKSAP Quiz: Incidentally discovered adrenal mass
A 62-year-old woman is evaluated for an incidentally discovered left adrenal mass. Two weeks ago, the patient was evaluated in the emergency department for diffuse abdominal pain and vomiting. A CT scan was obtained that was normal except for the adrenal mass. Her medical history is significant for diet-controlled type 2 diabetes mellitus diagnosed 1 year ago and osteoporosis diagnosed 4 years ago. Following a physical exam and lab studies, in addition to screening tests for pheochromocytoma, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/12/12/3.htm
12 Dec 2017
Demystifying the diagnosis of PCOS
Polycystic ovary syndrome, the most common reproductive disorder in the world, may present with varying diagnostic criteria, so internists can focus on two simple characteristics of the syndrome to help their clinical judgment.
https://immattersacp.org/archives/2018/11/demystifying-the-diagnosis-of-pcos.htm
1 Nov 2018
Guideline issued on androgen therapy in women
The Endocrine Society released an updated clinical practice guideline on androgen therapy in women.
https://immattersacp.org/weekly/archives/2014/10/21/5.htm
21 Oct 2014
MKSAP Quiz: Evaluation for a new-patient visit
A 55-year-old woman is evaluated for a new-patient visit. Medical history is significant for an eating disorder. Although she has maintained a normal weight for the past 20 years, she notes that prior to that time her weight would fluctuate in a range correlating with BMIs of 17 to 19. Family history is significant for postmenopausal osteoporosis in her mother. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2018/03/27/3.htm
27 Mar 2018
Managing patients with diabetes and heart failure
Good control of diabetes in the presence of heart failure includes appropriate HbA1c targets, metformin and comprehensive lifestyle change as first-line therapy, and a team approach.
https://immattersacp.org/archives/2019/11/managing-patients-with-diabetes-and-heart-failure.htm
1 Nov 2019
MKSAP Quiz: 1-year history of weight gain, fatigue, easy bruising
A 48-year-old woman who works the night shift presents with a one-year history of gaining 25 pounds, as well as fatigue, easy bruising, and difficulty remembering things. Medical history is significant for hypertension, type 2 diabetes, and menopausal hot flushes. After medication review and physical exam, what is the most appropriate next step in evaluation?
https://immattersacp.org/weekly/archives/2020/12/15/3.htm
15 Dec 2020
L-thyroxine did not improve symptoms or tiredness in older patients with subclinical hypothyroidism
Patients who were treated with thyroid medication instead of placebo did not experience significantly greater improvement in symptoms or quality of life regardless of the severity of their symptoms before treatment.
https://immattersacp.org/weekly/archives/2020/05/04/2.htm
4 May 2020