Search results for "Hepatology"
MKSAP Quiz: 2-month history of a burning sensation
A 45-year-old man is evaluated for a 2-month history of a burning sensation starting in his stomach and radiating into his chest, usually occurring 4 to 5 times weekly. He says that he usually eats dinner late and then goes to sleep. He often wakes up with a sour taste in his mouth. Following a physical exam, which is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/04/21/3.htm
21 Apr 2020
MKSAP Quiz: Ongoing symptoms of dysphagia
A 30-year-old man is evaluated for ongoing symptoms of dysphagia. He was previously diagnosed with eosinophilic esophagitis on upper endoscopy and has completed an 8-week course of swallowed aerosolized fluticasone, which did not alleviate his symptoms. Following a physical exam and upper endoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/10/01/3.htm
1 Oct 2019
Addressing the gut-brain connection in IBS
While psychotherapies are effective treatments for some digestive disorders, stigma around both functional gut disorders and mental health diagnoses limits uptake, both for physicians and patients.
https://immattersacp.org/archives/2019/09/addressing-the-gut-brain-connection-in-ibs.htm
1 Sep 2019
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
Improving HCV treatment and screening in primary care
Amid global calls to eliminate viral hepatitis, efforts are underway to screen asymptomatic adults for hepatitis C and overcome barriers to treatment.
https://immattersacp.org/archives/2022/01/improving-hcv-treatment-and-screening-in-primary-care.htm
1 Jan 2022
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
MKSAP Quiz: evaluated after a colonoscopy
A 65-year-old man is evaluated after a recent colonoscopy, which disclosed a 2.5-cm pedunculated polyp in the sigmoid colon. The polyp was removed in its entirety in a single piece. Biopsy results showed a well-differentiated adenocarcinoma confined to the submucosa without evidence of lymphovascular involvement and a 1-mm margin. There is no family history of colorectal cancer. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/10/06/3.htm
6 Oct 2015
MKSAP Quiz: severe, persistent, burning pain in an assisted-living patient
An 86-year-old woman is evaluated in her assisted-living facility for pain. Four weeks ago, she developed herpetic lesions on her right posterior thorax in a T7 distribution. She was treated with acyclovir, and the lesions healed; however, she has persistent severe burning pain. The pain is so severe that she is unable to leave her bed to attend meals. Following a physical exam, which medication is the most appropriate pharmacologic therapy for this patient's pain?
https://immattersacp.org/weekly/archives/2016/05/17/3.htm
17 May 2016
MKSAP Quiz: Dysphagia of 3 months' duration
A 52-year-old man is evaluated for dysphagia of 3 months' duration. He reports regurgitating undigested food soon after eating solid food, occasional coughing and choking after swallowing, and chronic halitosis. Following a physical examination, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/07/09/3.htm
9 Jul 2019
MKSAP Quiz: 1-month history of a skin ulcer
A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically refractory colonic Crohn disease. She has not had small-bowel involvement, and her ostomy output has been stable since surgery. Following a physical exam and skin findings, what is the most likely cause?.
https://immattersacp.org/archives/2015/11/mksap.htm
1 Nov 2015