Search results for "Hepatology"
MKSAP Quiz: 3-month history of gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following physical and abdominal exams, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/08/09/3.htm
9 Aug 2016
MKSAP Quiz: Gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/11/08/3.htm
8 Nov 2016
MKSAP Quiz: 4-year history of ulcerative colitis
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. What is the most appropriate interval at which to perform colonoscopy with biopsies in this patient?
https://immattersacp.org/weekly/archives/2016/11/15/3.htm
15 Nov 2016
MKSAP Quiz: 4-year history of ulcerative colitis
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. What is the most appropriate interval at which to perform colonoscopy with biopsies in this patient?
https://immattersacp.org/weekly/archives/2016/11/22/3.htm
22 Nov 2016
MKSAP quiz: Follow-up for elevated liver chemistry test results
A 28-year-old man is evaluated in follow-up for elevated liver chemistry test results, which were performed to assess a 3-month history of fatigue. He has no history of liver disease and has not had abdominal pain or fever. His medical history is significant for a 3-year history of diarrhea.
https://immattersacp.org/weekly/archives/2017/02/28/3.htm
28 Feb 2017
MKSAP Quiz: Management of joint pain
A 67-year-old woman is evaluated during a routine examination. She has a history of hip and knee pain related to degenerative joint disease. The joint pain is now well controlled with diclofenac, which was started 3 months ago. She does not have any gastrointestinal symptoms, and she takes the diclofenac with food most of the time. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/06/20/3.htm
20 Jun 2017
HCV treatment by NPs, PCPs appears safe, effective as that provided by subspecialists
Reversing restrictions that limit prescribing of direct-acting antivirals might allow rapid escalation of safe, effective therapy for hepatitis C virus (HCV) infection and could improve the care of patients, study authors noted.
https://immattersacp.org/weekly/archives/2017/08/08/2.htm
8 Aug 2017
MKSAP quiz: Follow-up for hepatitis B
A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection. Following a physical exam, lab studies, and ultrasound, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/09/19/3.htm
19 Sep 2017
Assess for noncardiac complications in congenital heart disease survivors, AHA says
Physicians who care for adult patients with congenital heart disease should be mindful of the effects that the condition has on other organs, according to a scientific statement from the American Heart Association.
https://immattersacp.org/weekly/archives/2017/10/17/1.htm
17 Oct 2017
MKSAP Quiz: Surveillance ultrasound for hepatocellular carcinoma
A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 months. Following a physical exam and ultrasound that reveals three new liver masses, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/12/19/3.htm
19 Dec 2017