Search results for "Obesity"
Moving toward effective physical activity counseling
Physicians should determine patients' aerobic fitness, which may be an even better indicator of their risk for heart disease and premature death than smoking and hypertension, according to a scientific statement.
https://immattersacp.org/archives/2017/02/counseling.htm
1 Feb 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
MKSAP quiz: Evaluation for amenorrhea of 4 months' duration
A 40-year-old woman is evaluated for amenorrhea of 4 months' duration. She has had weight gain, facial hair, alopecia, and debilitating fatigue. She seems to be gaining weight in her face, abdomen, and neck. She also bruises easily. Her only medication is clobetasol for psoriasis. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/09/12/3.htm
12 Sep 2017
Commission of experts identifies nine modifiable risk factors for dementia
Hearing loss, among other risk factors, should be addressed in midlife to reduce the incidence of dementia.
https://immattersacp.org/weekly/archives/2017/07/25/2.htm
25 Jul 2017
Alcohol abuse may increase risk of heart conditions as much as other risk factors
Researchers analyzed data from a Healthcare Cost and Utilization Project database in California to determine the association between a diagnosis of alcohol abuse and incident atrial fibrillation, myocardial infarction, and congestive heart failure.
https://immattersacp.org/weekly/archives/2017/01/10/4.htm
10 Jan 2017
MKSAP Quiz: evaluation for progressive left knee pain
A 34-year-old man is evaluated for progressive left knee pain. The pain causes difficulty with his work as a mail carrier, particularly when walking. His occupation does not require repetitive bending. He played football in college and experienced left knee trauma during sports participation; he underwent left meniscectomy and stopped playing sports. His mother has osteoarthritis of the hands that developed at age 65 years. Following a physical exam and radiographs, what is the most likely cause of this patient's left knee osteoarthritis?
https://immattersacp.org/weekly/archives/2016/10/04/3.htm
4 Oct 2016
Doctor, your weight bias is showing
For heavier patients, interacting with the health care system (judgmental clinicians and the ever-present scale) can be downright daunting.
https://immattersacp.org/archives/2017/02/weight.htm
1 Feb 2017
Internet-based program may help low-income women lose weight gained during pregnancy, study finds
The intervention included a website with weekly lessons, a web diary, instructional videos, computerized feedback, text messages, and monthly in-person meetings at the clinics.
https://immattersacp.org/weekly/archives/2017/06/27/5.htm
27 Jun 2017
MKSAP Quiz: 4-month history of progressive dyspnea, fatigue
A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol, spironolactone, and lactulose. Following a physical exam, lab tests, and scans, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/03/22/3.htm
22 Mar 2016
High-value management of patients with GI symptoms
Gastroesophageal reflux disease, rectal bleeding, and chronic diarrhea can be controlled better by applying high-value care.
https://immattersacp.org/archives/2017/06/gastro.htm
1 Jun 2017