Search results for "Imaging"
MKSAP Quiz: 12-week history of night sweats, fevers, weight loss
A 33-year-old man is evaluated for a 12-week history of night sweats, fevers, and weight loss without other localizing symptoms. Medical history is otherwise unremarkable, and he takes no medications. Following a physical exam, lab tests, and other procedures, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/31/3.htm
31 Jan 2023
MKSAP Quiz: Recently identified monoclonal protein
A 61-year-old woman is seen in consultation regarding a recently identified monoclonal protein. Medical history is notable for rheumatoid arthritis that has been stable for several years. Following a physical exam and lab tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/03/3.htm
3 Jan 2023
Relationships between primary care physicians, specialists may affect patient satisfaction
Patients gave higher ratings after a referral if the specialist trained with their primary care physician, a quasi-experimental study found.
https://immattersacp.org/weekly/archives/2023/01/10/4.htm
10 Jan 2023
MKSAP Quiz: A 3-year history of decline in cognition
A 60-year-old man is evaluated for a 3-year history of gradual, progressive decline in his cognition, behavior, and motor skills. Following a physical exam, MRI, and neuropsychological testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/28/3.htm
28 Sep 2021
Study finds low rates of CAD testing in patients with new-onset heart failure
Of 558,322 new heart failure patients, 34.8% received coronary artery disease (CAD) testing and 9.3% received revascularization within 90 days, which fell below expectations set by current guidelines, according to authors of a study of U.S. administrative claims data.
https://immattersacp.org/weekly/archives/2022/03/01/5.htm
1 Mar 2022
MKSAP Quiz: Follow-up for stable chronic kidney disease
A 57-year-old man is evaluated during follow-up for stable chronic kidney disease diagnosed 1 year ago. He also has type 2 diabetes mellitus, hyperlipidemia, and peripheral artery disease. On physical examination, blood pressure is 128/74 mm Hg, pulse rate is 65/min, and respiration rate is 18/min. Bilateral carotid and lower abdominal quadrant bruits are heard. Peripheral extremity pulses are diminished. The remainder of the examination is normal. After laboratory studies, what is the appropriate management?
https://immattersacp.org/weekly/archives/2021/11/09/3.htm
9 Nov 2021
AHA scientific statement offers guidance on LV thrombus
Among other recommendations, clinicians should treat patients with left ventricular (LV) thrombus after myocardial infarction using oral anticoagulants for three months, the American Heart Association (AHA) said.
https://immattersacp.org/weekly/archives/2022/09/20/4.htm
20 Sep 2022
New ACP clinical guidelines address diagnosis, management of adult patients with diverticulitis
Among other recommendations, ACP suggests clinicians can manage most patients with uncomplicated left-sided colonic diverticulitis in an outpatient setting and should refer those with complicated disease for colonoscopy after an initial episode.
https://immattersacp.org/weekly/archives/2022/01/18/2.htm
18 Jan 2022
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
Most incidental adrenal tumors are nonfunctioning, regardless of patient age, study finds
A Chinese study of a healthy community population found adrenal tumors in 1.6% of men and 1.2% of women. Prevalence increased with age from 0.2% in adults ages 18 to 25 years to 3.2% in adults older than age 65 years.
https://immattersacp.org/weekly/archives/2022/09/13/4.htm
13 Sep 2022