Search results for "Celiac disease"
MKSAP Quiz: Follow-up for extremely pruritic skin
A 40-year-old man is evaluated during a follow-up visit for an extremely pruritic skin eruption for several months that was recently diagnosed as dermatitis herpetiformis. He has no gastrointestinal symptoms and is otherwise healthy and takes no medications. In addition to a gluten-free diet, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2019/03/26/3.htm
26 Mar 2019
MKSAP Quiz: Several-month history of pruritic rash
A 20-year-old woman is evaluated for a several-month history of unintentional weight loss, diarrhea, poor glycemic control, and pruritic rash. She was diagnosed with type 1 diabetes mellitus 2 years ago. Medications are insulin glargine and insulin aspart injection. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2022/07/mksap-quiz-several-month-history-of-pruritic-rash.htm
1 Jul 2022
Array of symptoms can point to celiac
Celiac incidence has risen since the 1950s to today, so alert internists listen to the symptoms, get to the basis, and make accurate attributions to make the right diagnosis. A constellation of symptoms can point to a common underlying condition.
https://immattersacp.org/archives/2010/04/celiac.htm
1 Apr 2010
Guideline released on adults with Down syndrome, while study looks at COVID-19 risk
A recent clinical guideline calls for screening patients with Down syndrome for Alzheimer-type dementia starting at age 40 years and diabetes starting at age 30 years. Down syndrome is also associated with high risk for death from COVID-19, a new study found.
https://immattersacp.org/weekly/archives/2020/10/27/2.htm
27 Oct 2020
MKSAP Quiz: 8-month history of crampy abdominal pain, loose bowel movements
A 42-year-old woman is evaluated for an 8-month history of crampy abdominal pain and three loose bowel movements per day. The pain is relieved by a bowel movement. There are no nocturnal bowel movements, and there is no blood or dark tarry material in the stool. She has not had fever, night sweats, or weight loss. She has a history of Hashimoto disease and is treated with levothyroxine. Following a physical exam, rectal exam, and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/08/26/3.htm
26 Aug 2014
Gluten not a bread-and-butter diagnosis
Internists have to sort through the symptoms of gluten sensitivity to confirm a diagnosis. Excluding celiac disease and wheat allergy is essential, as is managing the patient's expectations and lifestyle.
https://immattersacp.org/archives/2014/09/gluten.htm
1 Sep 2014
MKSAP Quiz: Evaluating a 1-year history of loose stools
A 67-year-old woman is evaluated for a 1-year history of loose stools. She reports approximately four episodes per day without abdominal pain. She has not had nausea, vomiting, weight loss, bright red blood per rectum, or melena. After a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/07/14/3.htm
14 Jul 2015
The truth about Popeye and other iron tidbits
Green leafy vegetables, tofu, and lentils are all good sources of iron, but iron is most effectively absorbed when it is heme-based, as in red meat.
https://immattersacp.org/archives/2017/06/iron.htm
1 Jun 2017
MKSAP Quiz: upper endoscopy for dyspepsia
A 68-year-old woman undergoes upper endoscopy for evaluation of dyspepsia. She has a history of pernicious anemia. She has no other medical problems and her only medication is oral vitamin B12. Upper endoscopy discloses a 6-mm polyp in the body of the stomach, which is removed by polypectomy. Pathologic examination of the polyp confirms a well-differentiated neuroendocrine tumor. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/04/26/3.htm
26 Apr 2016
Longer lifespans emerge in Down syndrome
Transitioning a patient with Down syndrome from a pediatric practice to an adult physician can be challenging due to a lack of willing physicians, who may not feel that they know enough to provide care.
https://immattersacp.org/archives/2021/02/longer-lifespans-emerge-in-down-syndrome.htm
1 Feb 2021