Search results for "Hematology"


 
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MKSAP Quiz: Petechial rash of the lower limbs

A 29-year-old woman is evaluated for a petechial rash of the lower extremities of 3 weeks' duration. The patient reports no bleeding problems except for recent, occasional bleeding from her gums after brushing. Physician examination reveals petechiae limited mainly to both lower extremities, with a few spots noted on her forearms and abdomen. What is the most appropriate next step in management?.
https://acpinternist.org/archives/2012/06/mksap.htm
1 Jun 2012

MKSAP Quiz: History of diffuse headache, fatigue

A 27-year-old woman is evaluated in the emergency department for a 2-day history of diffuse headache, fatigue, and gingival bleeding on brushing her teeth. She is otherwise healthy. She is alert and oriented but reports having a headache. Petechiae that had gone unnoticed by the patient are visible on the lower extremities. What is the most appropriate next step in management?.
https://acpinternist.org/archives/2012/07/mksap.htm
1 Jul 2012

MKSAP Quiz: Follow-up on pre-employment physical exam

A 28-year-old woman has a follow-up consultation for a pre-employment physical examination. She reports feeling well, with no recent illness. Medical history is notable for gastroesophageal reflux disease. Her only medication is omeprazole. She is black. Following a physical exam and lab studies showing decreased neutrophils, what is the most likely diagnosis?
https://acpinternist.org/weekly/archives/2019/10/22/3.htm
22 Oct 2019

MKSAP Quiz: Fatigue, malaise, fever, and epistaxis

A 30-year-old woman is evaluated in the emergency department of a community hospital for a 2-week history of fatigue, malaise, low-grade fever, and intermittent epistaxis. Her husband states that she has been forgetful and occasionally confused during this period. Physical examination reveals bruises over the upper and lower extremities and palatal petechiae. Laboratory studies indicate a hemoglobin of 7.2 g/dL (72 g/L), leukocyte count of 9600/##mu;L (9.6 ##times; 109/L), platelet count of 12,000/##mu;L (12 ##times; 109/L), and serum lactate dehydrogenase concentration of 1700 U/L. The peripheral blood smear is shown. Plasma exchange is unavailable. What is the most appropriate next step in management?.
https://acpinternist.org/archives/2010/02/mksap.htm
1 Feb 2010

MKSAP Quiz: Evaluation for an elevated globulin fraction

A 67-year-old woman undergoes follow-up evaluation for an elevated globulin fraction of total serum protein level. She has no symptoms. Following a physical exam and lab studies, what is the most appropriate management?
https://acpinternist.org/weekly/archives/2019/07/23/3.htm
23 Jul 2019

MKSAP Quiz: Follow-up evaluation for nephrolithiasis

A 61-year-old woman has a follow-up evaluation for the incidental discovery of several hypodense lesions in both lobes of her liver and a 2.5-cm mesenteric mass during CT imaging for nephrolithiasis. She has fully recovered from the nephrolithiasis and now feels entirely well. Following a physical exam and lab studies, what is the most appropriate management?
https://acpinternist.org/weekly/archives/2021/08/10/3.htm
10 Aug 2021

MKSAP quiz: Follow-up for multiple myeloma

A 62-year-old man diagnosed with multiple myeloma 3 weeks ago is found to have multiple lytic lesions in the spine and pelvis on follow-up examination. His vertebral height was maintained. He is receiving bortezomib, lenalidomide, and dexamethasone for myeloma. After physical examination and laboratory studies, what is the most appropriate management?
https://acpinternist.org/weekly/archives/2019/04/30/3.htm
30 Apr 2019

MKSAP Quiz: Decreased exercise tolerance, ice cravings

A 28-year-old woman is evaluated for decreased exercise tolerance and ice cravings for the past several weeks. Medical history is notable for Crohn colitis diagnosed 6 years ago. Her symptoms flared 3 months ago with increased abdominal pain and diarrhea, and she began therapy with azathioprine and infliximab. Following a physical exam and lab studies, what is the most appropriate treatment?
https://acpinternist.org/weekly/archives/2018/11/20/3.htm
20 Nov 2018

MKSAP Quiz: 1-year history of headaches, redness, itching

An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She has hypertension and takes hydrochlorothiazide. Blood pressure is 160/90 mm Hg, BMI is 19, and abdominal examination shows splenomegaly. After laboratory studies, what is the most appropriate diagnostic test to perform next?
https://acpinternist.org/weekly/archives/2018/10/02/4.htm
2 Oct 2018

Obituaries

Included in this month's listings are former ACP President Ralph O. Wallerstein, MACP.
https://acpinternist.org/archives/2009/07/obituaries.htm
1 Jul 2009

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