Search results for "Imaging"
MKSAP quiz: 2-day history of knee pain, swelling
A 48-year-old man is evaluated for 2 days of right anterior knee pain and swelling. The pain began suddenly and has increased in intensity. The patient has no knee instability, reports no fever or chills, has no history of trauma, and has never had this problem before. Otherwise, he feels well. His only medication is ibuprofen, which provides minimal relief. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/09/26/3.htm
26 Sep 2017
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: follow-up for a right-sided pleural effusion
A 57-year-old man is evaluated in follow-up for a right-sided pleural effusion. He initially presented with increasing dyspnea and a constant dull ache on his right side. He also has lost 9.1 kg (20.0 lb) over the last 6 months. Medical history is otherwise unremarkable. Following chest radiographs and repeat thoracentesis, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2016/09/27/3.htm
27 Sep 2016
Making more sense of breast density
Internists are constantly pressed for time during visits, so when discussing breast density, a couple of quick talking points can help alleviate anxiety.
https://immattersacp.org/archives/2020/06/making-more-sense-of-breast-density.htm
1 Jun 2020
MKSAP Quiz: 1-month history of malaise, myalgia, weight loss
A 65-year-old man is evaluated for a 1-month history of progressive malaise, myalgia, a 3.6-kg (8.0-lb) weight loss, and numbness and weakness of the right foot; left testicular pain for 1 week; and a painful rash on his legs for 2 days. Following a physical exam, lab studies, and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/03/12/3.htm
12 Mar 2019
Personal choices may sway mammography
Primary care physicians who raise the subject of breast cancer screening with their patients may discover that they approach this decision from a different perspective.
https://immattersacp.org/archives/2021/10/personal-choices-may-sway-mammography.htm
1 Oct 2021
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: Follow-up visit for ovarian cancer
A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/01/29/3.htm
29 Jan 2019
Focused cardiac ultrasonography's diagnostic potential limited by low specificity
Clinicians should understand the appropriate clinical use of focused cardiac ultrasonography, given its inherent limitations in both image acquisition and interpretation, and when formal echocardiography should be obtained, said the authors of a new study.
https://immattersacp.org/weekly/archives/2019/08/06/1.htm
6 Aug 2019
Guideline updated for treating adult patients with congenital heart disease
An updated guideline retains the original's classification of adult congenital heart disease patients based on structural complexity of the disease but takes into account patients' functional status and other factors, including the presence of cardiovascular and noncardiovascular problems.
https://immattersacp.org/weekly/archives/2018/08/21/2.htm
21 Aug 2018