Search results for "Gastroenterology"
Long-term use of acid-suppressive drugs associated with vitamin B12 deficiency
Long-term use of proton-pump inhibitors (PPIs) and histamine-2-receptor antagonists (H2RAs) may be associated with vitamin B12 deficiency, according to a new study.
https://immattersacp.org/weekly/archives/2013/12/17/7.htm
17 Dec 2013
MKSAP Quiz: follow-up for elevated liver chemistry tests
A 42-year-old man is evaluated in follow-up for elevated liver chemistry tests. Abdominal ultrasound reveals increased hepatic echotexture consistent with hepatic steatosis. Hepatic configuration is otherwise normal. In addition to weight loss, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2012/11/06/3.htm
6 Nov 2012
MKSAP Quiz: Follow-up of ulcerative colitis
A 38-year-old man is evaluated during a routine examination. He was diagnosed with ulcerative colitis 10 years ago and is currently asymptomatic. His last colonoscopy, performed at the time of diagnosis, showed mildly active extensive colitis extending to the hepatic flexure. Physical and abdominal examinations are normal. What is the most appropriate colonoscopy interval for this patient?
https://immattersacp.org/weekly/archives/2013/01/08/3.htm
8 Jan 2013
MKSAP Quiz: abnormal liver chemistry tests
A 25-year-old man is evaluated after being turned down as a blood donor because of abnormal liver chemistry tests. The patient is healthy, takes no medications, does not smoke, and drinks alcohol socially. The review of systems, physical exam, vital signs and BMI are normal. What is the most appropriate diagnostic test for this patient?
https://immattersacp.org/weekly/archives/2012/09/25/3.htm
25 Sep 2012
Looking back and looking forward
As the year begins, ACP's President shares where ACP has been and where membership voices have guided ACP to engage in the coming year.
https://immattersacp.org/archives/2019/01/looking-back-and-looking-forward.htm
1 Jan 2019
MKSAP Quiz: 3-month history of progressively worsening diarrhea
A 19-year-old woman is evaluated for a 3-month history of progressively worsening diarrhea, abdominal pain, and weight loss. Her brother was diagnosed with Crohn disease at age 16 years. Following a physical exam and colonoscopy, what is the most effective maintenance treatment?
https://immattersacp.org/weekly/archives/2013/07/30/3.htm
30 Jul 2013
MKSAP Quiz: 6-month history of dysphagia
A 50-year-old man is evaluated for a 6-month history of dysphagia. He describes a sensation of both solids and liquids sticking in the midesophageal area. This sensation has slowly worsened over time. He also describes intermittent midsternal discomfort that is nonexertional and is usually precipitated by swallowing food. He has lost 4.5 kg (10.0 lb). He has had no history of heartburn or acid regurgitation. Following a physical exam and barium swallow, what is the most appropriate management?.
https://immattersacp.org/archives/2014/03/mksap.htm
1 Mar 2014
New guideline released on diagnosis, management of pancreatic cysts
The American Gastroenterological Association (AGA) released a new guideline last week on the diagnosis and management of asymptomatic neoplastic pancreatic cysts.
https://immattersacp.org/weekly/archives/2015/03/31/1.htm
31 Mar 2015
MKSAP Quiz: Fever and abdominal pain
A 45-year-old man is admitted to the hospital for a 2-day history of fever and abdominal pain. His medical history is notable for cirrhosis due to chronic hepatitis C, esophageal varices, ascites, and minimal hepatic encephalopathy. Abdominal ultrasound discloses cirrhosis, splenomegaly, and ascites. His albumin level is consistent with spontaneous bacterial peritonitis. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2013/05/07/3.htm
7 May 2013
MKSAP Quiz: ED evaluation for acute onset of pain
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes azathioprine. On physical examination, she appears ill. Following aggressive fluid resuscitation, temperature is 38.9° C (102.0° F), blood pressure is 70/40 mm Hg, pulse rate is 148/min, and respiration rate is 35/min. Abdominal examination discloses absent bowel sounds, distention, and diffuse marked tenderness with mild palpation. Following lab studies and the results of a radiograph, what is the most appropriate management?.
https://immattersacp.org/archives/2014/01/mksap.htm
1 Jan 2014