Search results for "Hepatology"


 
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Test yourself case study: hepatic mass

ACP Internist has brought back its MKSAP quiz. This popular feature was so heavily requested by our readers that we're restoring it in our print edition and ACP Internist Weekly e-mail updates.
https://immattersacp.org/archives/2008/10/mksap.htm
1 Oct 2008

MKSAP Quiz: follow-up after hospitalization for a large bleeding gastric ulcer

A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Following a physical exam and upper endoscopy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/11/24/3.htm
24 Nov 2015

MKSAP Quiz: Evaluation for recurrent diarrhea, abdominal pain

A 57-year-old man is evaluated for recurrent diarrhea and abdominal pain over the past 2 months. He was diagnosed with celiac disease 10 years ago when he presented with similar symptoms; at that time, symptoms resolved within 1 month of starting a gluten-free diet, which he has maintained since then. He has unintentionally lost 2 kg (5 lb) in the past 2 months. What condition should he be assessed for?
https://immattersacp.org/weekly/archives/2022/09/06/3.htm
6 Sep 2022

MKSAP Quiz: Difficult and painful swallowing

A 43-year-old man is evaluated for difficulty with swallowing and painful swallowing. The pain began approximately 5 days ago and occurs with both solids and liquids. He has recently diagnosed HIV infection and is receiving antiretroviral therapy. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/archives/2022/09/mksap-quiz-difficult-and-painful-swallowing.htm
1 Sep 2022

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: 2-week history of bloody diarrhea

A 24-year-old man is evaluated in the emergency department for 2 weeks of worsening bloody diarrhea with up to 10 bloody bowel movements per day. He also reports increasing lower abdominal pain and distension and decreased stool frequency over the past day. He has had extensive ulcerative colitis for 5 years. After physical examination, laboratory studies, and abdominal radiograph, what is the appropriate next step in management?
https://immattersacp.org/archives/2019/01/mksap-quiz-2-week-history-of-bloody-diarrhea.htm
1 Jan 2019

MKSAP Quiz: Intermittent rectal bleeding of 3 months' duration

A 46-year-old man is evaluated for intermittent rectal bleeding of 3 months' duration. Colonoscopy finds 12 polyps, and genetic testing reveals biallelic mutations in the MYH gene. What is the most cost-effective approach to determining if the patient's children have inherited MYH-associated polyposis?
https://immattersacp.org/weekly/archives/2018/04/03/3.htm
3 Apr 2018

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

MKSAP Quiz: 3-month history of GI bloating and discomfort

This week's quiz asks readers to evaluate a 64-year-old man with a 3-month history of gastrointestinal bloating and mid-epigastric discomfort.
https://immattersacp.org/weekly/archives/2011/08/02/3.htm
2 Aug 2011

MKSAP Quiz: 2-year history of chest pain

A 35-year-old man is evaluated for a 2-year history of intermittent chest pain that is retrosternal, lasts for seconds to minutes, is unrelated to exertion, and does not radiate. It is occasionally associated with swallowing. Upper endoscopy is normal and a barium swallow is shown. What is the most likely diagnosis?.
https://immattersacp.org/archives/2013/02/mksap.htm
1 Feb 2013

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