Search results for "Aneurysms"
MKSAP quiz: medical history of mitral regurgitation
A 45-year-old man undergoes a pre-employment physical examination. Medical history is notable for aortic coarctation with an end-to-end anastomosis performed at 4 years of age. During a physical exam, a grade 2/6 mid-peaking systolic murmur is noted at the second right intercostal space. What is the most likely cause of this patient's systolic murmur?
https://immattersacp.org/weekly/archives/2021/06/29/3.htm
29 Jun 2021
Register now for live, in-person POCUS courses in the greater Chicago area
ACP Members who register for foundational or advanced point-of-care ultrasound (POCUS) courses now through Sept. 1, 2021, will receive a special early bird registration rate.
https://immattersacp.org/weekly/archives/2021/06/29/6.htm
29 Jun 2021
MKSAP Quiz: 5-month history of exertional chest discomfort
A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019
Giant-cell arteritis needs prompt action for good outcomes
The differential diagnosis of this condition can be challenging because many conditions can mimic it.
https://immattersacp.org/archives/2021/05/giant-cell-arteritis-needs-prompt-action-for-good-outcomes.htm
1 May 2021
Concomitant influenza infection associated with worse in-hospital outcomes in heart failure patients
Rates of in-hospital mortality, acute respiratory failure with and without mechanical ventilation, and acute kidney injury with and without dialysis were significantly higher in patients admitted with heart failure and influenza infection compared to admissions for heart failure alone.
https://immattersacp.org/weekly/archives/2019/01/08/4.htm
8 Jan 2019
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
MKSAP quiz: Diagnose progressive leg pain upon exercising
A 27-year-old man is evaluated for leg pain. The patient is moderately obese (BMI=33) and had been sedentary until recently, when he joined a health club. However, after only a few minutes on the treadmill, he develops progressive pain in both his legs that resolves after a few minutes with rest. What is the most likely diagnosis?.
https://immattersacp.org/archives/2010/01/mksap.htm
1 Jan 2010
Registration extended for ACP's in-person POCUS courses in Chicago
Courses on foundational point-of-care ultrasound (POCUS) skills for internists, ultrasound-guided procedures, and advanced skills for outpatient practice will be held in November.
https://immattersacp.org/weekly/archives/2022/10/11/6.htm
11 Oct 2022
MKSAP Quiz: referral for newly diagnosed hypertension
A 48-year-old man with newly diagnosed hypertension is referred for an echocardiogram to assess findings of left ventricular hypertrophy noted on the electrocardiogram. He is asymptomatic, and his medical history is unremarkable other than hypertension. His only medication is chlorthalidone. Following a physical exam, cardiac exam, and transthoracic echocardiogram, what is the most appropriate management based on this patient's echocardiographic findings?
https://immattersacp.org/weekly/archives/2015/11/10/3.htm
10 Nov 2015
MKSAP Quiz: 2-week history of left-sided headaches
An 82-year-old woman is evaluated for a 2-week history of left-sided headaches with pain on chewing, accompanied by achiness in the shoulders and hips. She has no other pertinent personal or family history. She takes no medications. Following a physical exam and lab studies, what is the most appropriate immediate next step in management?
https://immattersacp.org/weekly/archives/2017/11/14/3.htm
14 Nov 2017