Search results for "Imaging"
MKSAP Quiz: follow-up for a right-sided pleural effusion
A 57-year-old man is evaluated in follow-up for a right-sided pleural effusion. He initially presented with increasing dyspnea and a constant dull ache on his right side. He also has lost 9.1 kg (20.0 lb) over the last 6 months. Medical history is otherwise unremarkable. Following chest radiographs and repeat thoracentesis, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2016/09/27/3.htm
27 Sep 2016
MKSAP Quiz: 3-month history of gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following physical and abdominal exams, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/08/09/3.htm
9 Aug 2016
New gout guidelines and 'treat to target'
Guidelines by ACP and by rheumatology societies disagree on the treat-to-target approach to therapy.
https://immattersacp.org/archives/2017/04/gout.htm
1 Apr 2017
Combat cardiac risks of cancer therapies
One challenge of treating cancer is preventing, diagnosing, and treating heart failure in at-risk patients, and figuring out which patients would benefit from intervention.
https://immattersacp.org/archives/2018/09/combat-cardiac-risks-of-cancer-therapies.htm
1 Sep 2018
How many are too many for CT scans?
As many as one-third of the 70 million imaging tests ordered during the year may not be needed. Experts attempt to determine whether repeated radiation scanning doses could prove potentially yet unintentionally harmful.
https://immattersacp.org/archives/2011/02/CT.htm
1 Feb 2011
MKSAP Quiz: fatigue, anorexia, polyuria, and nocturia
A 54-year-old woman is evaluated for fatigue, anorexia, polyuria, and nocturia of several weeks' duration. She had otherwise felt well until the onset of her current symptoms. Medical history is significant for autoimmune pancreatitis diagnosed 1 year ago, treated with a prednisone taper that was completed 8 months ago with resolution of her symptoms. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/06/14/3.htm
14 Jun 2016
DTC screening tests a source of concern
With the proliferation of the number and scope of direct-to-consumer tests, ACP is concerned about the unnecessary costs and undue anxiety for patients when results lead to follow-up testing to rule out a medical concern.
https://immattersacp.org/archives/2018/06/dtc-screening-tests-a-source-of-concern.htm
1 Jun 2018
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: Follow-up for elevated liver chemistry test results
A 28-year-old man is evaluated in follow-up for elevated liver chemistry test results, which were performed to assess a 3-month history of fatigue. He has no history of liver disease and has not had abdominal pain or fever. His medical history is significant for a 3-year history of diarrhea.
https://immattersacp.org/weekly/archives/2017/02/28/3.htm
28 Feb 2017
MKSAP Quiz: itching lasting 5 months
A 53-year-old man is evaluated for whole-body itching lasting 5 months that is not improved by a short course of emollients and antihistamine medication. Review of systems is negative. He does not take any medications. On physical examination, excoriations are noted on his legs, shoulders, and back; the remainder of the examination is normal. After normal results on laboratory tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/02/07/3.htm
7 Feb 2017