Search results for "Imaging"
MKSAP Quiz: Abdominal pain for several months
A 56-year-old man is evaluated for right-upper-quadrant abdominal pain of several months' duration. He otherwise has been well. Following a physical exam, lab studies, and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/02/01/4.htm
1 Feb 2022
Most incidental adrenal tumors are nonfunctioning, regardless of patient age, study finds
A Chinese study of a healthy community population found adrenal tumors in 1.6% of men and 1.2% of women. Prevalence increased with age from 0.2% in adults ages 18 to 25 years to 3.2% in adults older than age 65 years.
https://immattersacp.org/weekly/archives/2022/09/13/4.htm
13 Sep 2022
Benefits of clearly defining value in patient care
Physicians have always been charged as agents to advocate for patients' best interests. Simultaneously, however, they are tasked with considering using resources wisely. These commitments can sometimes conflict and create tradeoffs in clinical decision making.
https://immattersacp.org/archives/2015/11/policy.htm
1 Nov 2015
European guidelines for breast cancer screening differ from U.S. recommendations
The guidelines pertain to organized screening programs for women ages 40 to 75 years who are at average risk for breast cancer and address screening type and frequency, as well as follow-up of abnormal results.
https://immattersacp.org/weekly/archives/2019/11/26/4.htm
26 Nov 2019
Guidance on using rapid tests, managing COPD, and screening for cardiac problems in COVID-19
The FDA warned about false positives with rapid tests, guidance addressed care for chronic obstructive pulmonary disease (COPD) during the pandemic, and experts advised on ethics of emergency use authorizations, among other recent COVID-19 news.
https://immattersacp.org/weekly/archives/2020/11/10/1.htm
10 Nov 2020
MKSAP Quiz: Impaired gait and balance
A 72-year-old man is evaluated for a 1-year history of progressively impaired gait and balance. He reports that he walks more slowly and is not as agile as he used to be, attributing a recently increased number of falls to not paying enough attention before tripping. In the past 6 months, he has had occasional problems recalling details of recent conversations and events, completing tasks around the house in a timely manner, and organizing and balancing his checkbook despite having been an accountant before retiring. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?
https://immattersacp.org/archives/2017/02/mksap.htm
1 Feb 2017
MKSAP Quiz: Peripheral 9-mm solid pulmonary nodule
A 72-year-old woman is evaluated during a routine visit. She has a 30-pack-year smoking history and quit 5 years ago. A screening low-dose chest CT scan shows a peripheral 9-mm solid pulmonary nodule in the left upper lobe and emphysema. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/08/25/4.htm
25 Aug 2020
Letters to the Editor
Opinions on pharmacy benefit managers, imaging, ethics and primary care.
https://immattersacp.org/archives/2008/07/letters.htm
1 Jul 2008
MKSAP quiz: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022
Getting dialysis for undocumented patients
Undocumented immigrants in the U.S. with end-stage kidney disease (ESKD) number in the thousands, and new programs and policies are allowing them to tap into dialysis before their condition warrants emergency treatment.
https://immattersacp.org/archives/2021/02/getting-dialysis-for-undocumented-patients.htm
1 Feb 2021