Search results for "Syncope"
MKSAP Quiz: 2 weeks of painful lumps on legs
A 23-year-old woman is evaluated for 2 weeks of painful lumps on her legs. The lumps persist for several days and make it difficult for her to go to work as a waitress. She is a college student in Ohio where she has lived her whole life. Following a physical exam, negative pregnancy test, and other lab studies, what test should be done next?
https://immattersacp.org/weekly/archives/2019/01/08/3.htm
8 Jan 2019
Tamsulosin for BPH associated with hospitalizations for hypotension
Tamsulosin for benign prostatic hyperplasia (BPH) may be associated with about twice the rate of severe hypotension requiring hospitalization during the first 8 weeks of treatment and the first 8 weeks after restarting treatment, researchers found.
https://immattersacp.org/weekly/archives/2013/11/19/5.htm
19 Nov 2013
MKSAP Quiz: 1-year history of tremor
A 56-year-old woman is evaluated for a 1-year history of tremor. The tremor is more prominent on the right side. She also reports increasing problems with balance and numerous falls, especially when arising from a chair or turning. The patient does not have any significant cognitive symptoms. Following a physical exam and cranial nerve examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/05/22/3.htm
22 May 2018
MKSAP Quiz: Dyspnea during walking
A 79-year-old woman is seen for an annual examination. She is in good health except for osteopenia, for which she takes calcium and Vitamin D supplements. She walks regularly to and from the bus stop several times per week. It takes her 25 minutes to get to the bus stop whereas it only took her 10 minutes a year ago. She describes dyspnea midway in her walk, causing her to stop and catch her breath. She denies angina, presyncope, syncope, or pedal edema. Following a physical exam and lab results, what is the most appropriate option for improving this patient's quality of life?.
https://immattersacp.org/archives/2010/03/mksap.htm
1 Mar 2010
MKSAP Quiz: Exacerbations of heart failure
A 68-year-old man is evaluated at a follow-up appointment. He has a 7-year history of heart failure secondary to ischemic cardiomyopathy. Over the past 6 months, he has had three hospitalizations for exacerbations of his heart failure. He currently has exertional dyspnea while getting dressed, and his maximal activity level is limited to riding to the store with his wife but staying in the car. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/03/13/3.htm
13 Mar 2018
MKSAP Quiz: 3-year history of palpitations, fatigue
A 42-year-old woman is evaluated for a 3-year history of palpitations and fatigue. She reports no chest pain, dizziness, near-syncope, or syncope. Ambulatory 24-hour electrocardiographic monitoring shows frequent monomorphic premature ventricular contractions (22% of all beats) and frequent ventricular bigeminy. What is the most appropriate management?
https://immattersacp.org/archives/2021/06/mksap-quiz-3-year-history-of-palpitations-fatigue.htm
1 Jun 2021
MKSAP Quiz: 6-week history of shortness of breath
A 22-year-old man is evaluated for a 6-week history of shortness of breath and cough. He is otherwise healthy and takes no medications. Following a physical exam and chest CT, what is the most appropriate management?
https://immattersacp.org/archives/2022/04/mksap-quiz-6-week-history-of-shortness-of-breath.htm
1 Apr 2022
MKSAP Quiz: evaluation for episodes of palpitations
A 42-year-old woman is evaluated for episodes of palpitations that last several seconds in duration. They occur once or twice a month and are accompanied by lightheadedness and mild dyspnea. She has not experienced loss of consciousness. The episodes are not precipitated by any particular activity, including exercise. She takes no medications. Following a physical exam, cardiac exam, and electrocardiogram, what is the most appropriate diagnostic testing option?
https://immattersacp.org/weekly/archives/2016/01/12/3.htm
12 Jan 2016
MKSAP Quiz: Evaluation for progressive chest pain
A 56-year-old man is evaluated in the emergency department for progressive chest pain and dyspnea that began 3 hours ago. Medical history is significant for hypertension treated with lisinopril. Following a physical exam, electrocardiogram, and chest radiograph, what is the most appropriate immediate management?
https://immattersacp.org/archives/2020/09/mksap-quiz-evaluation-for-progressive-chest-pain.htm
1 Sep 2020
Take time to discuss women's sexual health
A women's sexual health equates to her overall health, and internists should ask about it and refer for it when needed.
https://immattersacp.org/archives/2019/10/take-time-to-discuss-womens-sexual-health.htm
1 Oct 2019