Search results for "Hepatology"
MKSAP Quiz: Follow-up for Barrett esophagus
A 65-year-old man is evaluated with upper endoscopy in follow-up for Barrett esophagus. He has had heartburn for more than 15 years, but his symptoms have been well controlled with daily omeprazole. Biopsies confirm evidence of Barrett esophagus with low-grade dysplasia. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/10/06/3.htm
6 Oct 2020
MKSAP Quiz: Episodic nausea, bloating, epigastric pain
A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021
How COVID-19 affects the liver
There is increasing evidence of direct, virally mediated liver injury caused by SARS-CoV-2, leading to enzyme elevations, lobular necroinflammation and/or portal interface hepatitis, and steatosis.
https://immattersacp.org/archives/2021/03/how-covid-19-affects-the-liver.htm
1 Mar 2021
Watch out for NAFLD, treat ASAP
While nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are dynamic processes that can progress and regress, lifestyle modification, including diet, is a must for all patients, wherever they are in their disease.
https://immattersacp.org/archives/2021/04/watch-out-for-nafld-treat-asap.htm
1 Apr 2021
MKSAP Quiz: Aspirin management before polypectomy
A 58-year-old man is counseled before undergoing colonoscopy and polypectomy in 10 days' time. Two years earlier, he had an inferior wall myocardial infarction. His medications are low-dose aspirin, atorvastatin, metoprolol, and enalapril. What is the most appropriate management of his aspirin therapy?
https://immattersacp.org/weekly/archives/2021/04/13/3.htm
13 Apr 2021
MKSAP Quiz: Intractable pruritus during pregnancy
A 22-year-old woman is evaluated for intractable pruritus that keeps her awake at night. She is in her 25th week of pregnancy. Following a physical exam, lab studies, tests for hepatitis, and an ultrasound, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/07/27/3.htm
27 Jul 2021
MKSAP Quiz: Evaluation for newly developed ascites
A 50-year-old man is evaluated for newly developed ascites. He has cirrhosis due to nonalcoholic steatohepatitis. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/31/3.htm
31 Aug 2021
MKSAP Quiz: Evaluation for follow-up of abdominal pain
A 35-year-old woman is evaluated for follow-up of abdominal pain, which has prompted multiple emergency department visits. CT scans have revealed intussusception. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/10/mksap-quiz-evaluation-for-follow-up-of-abdominal-pain.htm
1 Oct 2021
MKSAP Quiz: Right-upper-quadrant abdominal discomfort
A 36-year-old woman is evaluated for a 3-day history of constant right-upper-quadrant abdominal discomfort and abdominal distention. She has no significant medical history. Following a physical exam and lab tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2021/10/19/3.htm
19 Oct 2021
MKSAP Quiz: Evaluation for worsening choking
A 75-year-old man is evaluated for choking that started 3 months ago and has progressively worsened. Parkinson disease was diagnosed 3 months ago. His only medication is carbidopa-levodopa. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/12/07/3.htm
7 Dec 2021