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ACP welcomes annual meeting ‘home’ to Philadelphia

This issue offers in-depth coverage of Internal Medicine Meeting 2019.
https://immattersacp.org/archives/2019/06/acp-welcomes-annual-meeting-home-to-philadelphia.htm
1 Jun 2019

MKSAP Quiz: Periodic fever over the past 3 months

A 43-year-old man is seen in follow-up for fever up to 38.3 °C (101 °F) occurring periodically over the past 3 months. He has no associated symptoms other than fatigue. Following a physical exam, lab studies, and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/05/07/3.htm
7 May 2019

MKSAP Quiz: 3-year history of fatigue

A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/04/23/3.htm
23 Apr 2019

MKSAP Quiz: 1-month history of malaise, myalgia, weight loss

A 65-year-old man is evaluated for a 1-month history of progressive malaise, myalgia, a 3.6-kg (8.0-lb) weight loss, and numbness and weakness of the right foot; left testicular pain for 1 week; and a painful rash on his legs for 2 days. Following a physical exam, lab studies, and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/03/12/3.htm
12 Mar 2019

MKSAP Quiz: Follow-up evaluation after ED visit

A 38-year-old woman undergoes follow-up evaluation in the office. She was evaluated in the emergency department 3 nights ago with fever and flank pain following 2 days of dysuria. Following treatment and discharge, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/02/05/3.htm
5 Feb 2019

Concussions cause cognitive concerns

Traumatic brain injury accounts for three million ED visits a year and at least another three to six million visits for outpatient medical care several days after the injury, without an ED visit.
https://immattersacp.org/archives/2019/02/concussions-cause-cognitive-concerns.htm
1 Feb 2019

Prioritize PE in high-risk patients with syncope

Emergency department physicians should always do a thorough workup on patients who present with syncope, although imaging for these patients in the ED does not appear to be necessary.
https://immattersacp.org/archives/2019/02/prioritize-pe-in-high-risk-patients-with-syncope.htm
1 Feb 2019

MKSAP Quiz: Follow-up visit for ovarian cancer

A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/01/29/3.htm
29 Jan 2019

Going beyond ‘less is more’ to improve diagnosis

Clinicians need general principles to follow in addition to lists of tests to avoid.
https://immattersacp.org/archives/2019/01/going-beyond-less-is-more-to-improve-diagnosis.htm
1 Jan 2019

MKSAP Quiz: 2-week history of bloody diarrhea

A 24-year-old man is evaluated in the emergency department for 2 weeks of worsening bloody diarrhea with up to 10 bloody bowel movements per day. He also reports increasing lower abdominal pain and distension and decreased stool frequency over the past day. He has had extensive ulcerative colitis for 5 years. After physical examination, laboratory studies, and abdominal radiograph, what is the appropriate next step in management?
https://immattersacp.org/archives/2019/01/mksap-quiz-2-week-history-of-bloody-diarrhea.htm
1 Jan 2019

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