Search results for "Diagnosis"
MKSAP Quiz: Syncopal and near-fainting events
A 68-year-old man is evaluated for an episode of syncope and repeated episodes of near-fainting when standing and working on his tractor. Current medical problems are hypertension and dyslipidemia. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/02/08/3.htm
8 Feb 2022
Priming to diagnose an atypical case, avoid representativeness
A patient's deteriorating mental health status points to an underlying cause. But it takes “priming” for an endocrinologist to look for the right diagnosis despite the lack of a prototype case.
https://immattersacp.org/archives/2011/07/mindful.htm
1 Jul 2011
A doctor seeks out a concrete diagnosis
In medicine, a single diagnosis is preferred when possible as opposed to seeking multiple diagnoses to explain symptoms. But it isn't always correct.
https://immattersacp.org/archives/2014/07/doctor.htm
1 Jul 2014
Bedside tests for a ‘slam-dunk’ delirium diagnosis
Tests for delirium involve a stepped approach of progressively more difficult questions in an attempt to provoke disorganized thinking.
https://immattersacp.org/archives/2022/11/bedside-tests-for-a-slam-dunk-delirium-diagnosis.htm
1 Nov 2022
Dyspnea should lead to testing for every patient
An expert discusses why every individual with dyspnea should have pulmonary function tests and every individual with fixed airflow obstruction on pulmonary function tests should be tested for alpha-1 antitrypsin deficiency.
https://immattersacp.org/archives/2023/11/dyspnea-should-lead-to-testing-for-every-patient.htm
1 Nov 2023
A living guideline for depression treatment
ACP recommends choosing between a second-generation antidepressant or cognitive behavioral therapy for adults in the acute phase of moderate to severe major depressive disorder.
https://immattersacp.org/archives/2023/06/a-living-guideline-for-depression-treatment.htm
1 Jun 2023
Social support after illness associated with better outcomes in older adults who live alone
U.S. researchers used data from the Health and Retirement Study to determine whether older adults who had a relative or friend to help with personal care if needed experienced better outcomes after new onset of a major illness or hospitalization.
https://immattersacp.org/weekly/archives/2021/11/16/5.htm
16 Nov 2021
DOACs may be safe, effective for VTE prevention in patients with higher weight, BMI
Patients with first-time venous thromboembolism (VTE) who weighed 120 kg or more and had a body mass index (BMI) of 40 kg/m2 or more were not at higher risk for bleeding or recurrent VTE with direct-acting oral anticoagulants (DOACs) versus warfarin.
https://immattersacp.org/weekly/archives/2021/11/09/4.htm
9 Nov 2021
Mitigate potential workplace violence
Physicians should consider violence prevention measures that they can adopt, such as regular training in de-escalation techniques, more routine documentation of worrisome encounters, and seeking guidance from law enforcement or a threat assessment consultant.
https://immattersacp.org/archives/2023/09/mitigate-potential-workplace-violence.htm
1 Sep 2023
Breast cancer overdiagnosis may not happen as frequently as previously thought
About 15% of breast cancers detected by biennial mammograms in women ages 50 to 74 years would never have progressed or caused harm in the women's lifetimes, a new retrospective study found.
https://immattersacp.org/weekly/archives/2022/03/01/1.htm
1 Mar 2022