Search results for "Imaging"
MKSAP Quiz: Intermittent abdominal discomfort
A 61-year-old woman is evaluated for intermittent abdominal discomfort and a bloating sensation. Approximately 2 months before the swelling started, the patient had a pruritic, gradually progressive rash characterized by redness of the face, and a pruritic rash on her chest, upper back, shoulders, hands, and lateral hips. She has no muscle pain, weakness, or joint pain. Pertinent family history includes breast cancer in her mother and ovarian cancer in her grandmother. Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. Following a physical exam and lab findings, what is the most appropriate diagnostic study for this patient?.
https://immattersacp.org/archives/2013/11/mksap.htm
1 Nov 2013
A physician copes with chronic pain
A diagnosis of breast cancer leads to chronic pain that has lingered for 6 years. A physician learns a lesson in adaptation, resilience and moving on. Humility and hope are keys.
https://immattersacp.org/archives/2013/11/doctors.htm
1 Nov 2013
Classified Advertising 16 ACPINTERNIST Answer: Factor IXDeficiency of factor ...
appropriate imaging. Patients with der-matomyositis and cutaneous ulcerationsmay be at an even higher risk of malignan-cy.
https://immattersacp.org/archives/2013/11/acpi-201311-puzzle_t2.pdf
1 Nov 2013
New recommendations on diagnosis and treatment of Bell's palsy
Recommendations on diagnosing and treating Bell's palsy were recently provided by a new clinical practice guideline from the American Academy of Otolaryngology–Head and Neck Surgery Foundation.
https://immattersacp.org/weekly/archives/2013/11/12/6.htm
12 Nov 2013
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
Long-term view for chronic pancreatitis
Unlike acute cases of pancreatitis, chronic cases present with varying degrees and types of pain, and without other clinical indicators such as calcification or damage to pancreatic ducts. It's best to refer to a gastroenterologist early to clarify the diagnosis, so the internist can better manage the patient.
https://immattersacp.org/archives/2014/01/pancreatitis.htm
1 Jan 2014
MKSAP Quiz: ED evaluation for acute onset of pain
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes azathioprine. On physical examination, she appears ill. Following aggressive fluid resuscitation, temperature is 38.9° C (102.0° F), blood pressure is 70/40 mm Hg, pulse rate is 148/min, and respiration rate is 35/min. Abdominal examination discloses absent bowel sounds, distention, and diffuse marked tenderness with mild palpation. Following lab studies and the results of a radiograph, what is the most appropriate management?.
https://immattersacp.org/archives/2014/01/mksap.htm
1 Jan 2014
Internationally developed gout guidelines seek to improve clinical practice
Ten recommendations for the diagnosis and management of patients with gout have been developed by a multinational group with the aim of improving daily clinical practice.
https://immattersacp.org/weekly/archives/2014/01/14/2.htm
14 Jan 2014
MKSAP Quiz: 3- to 4-month history of diffuse, intractable itching
A 72-year-old man is evaluated for a 3- to 4-month history of diffuse, intractable itching involving most of the body. He uses emollients regularly. He cannot identify any precipitating causes. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/01/14/3.htm
14 Jan 2014
Intensive BP and cholesterol treatment didn't affect cognitive decline after 40 months
In patients with type 2 diabetes, intensive control of blood pressure and cholesterol did not protect against cognitive decline, a recent study found.
https://immattersacp.org/weekly/archives/2014/02/11/4.htm
11 Feb 2014