Search results for "Physical exam"
MKSAP Quiz: 6-month history of low back pain
A 58-year-old man is evaluated for a 6-month history of persistent low back pain. The patient is a postal employee who first developed pain after lifting a heavy mailbag onto a truck. The pain is localized to the lumbar back, is bilateral, and does not radiate. After review of a previous MRI and a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/05/14/3.htm
14 May 2024
MKSAP Quiz: Follow-up evaluation of chronic anemia
A 32-year-old woman is seen for follow-up evaluation of chronic anemia that has been stable for at least the past 5 years. She has no history of transfusions. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/05/mksap-quiz-follow-up-evaluation-of-chronic-anemia.htm
1 May 2024
MKSAP Quiz: Follow-up on blood tests
A 45-year-old woman is evaluated at follow-up for abnormal alkaline phosphatase levels on three previous blood tests. She has mild pruritus. She has no family history of liver disease. Following a physical exam and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2024/05/07/3.htm
7 May 2024
Useful physical exam skills for inpatient assessment
This month's expert discusses measuring vital signs, orthostatic hypertension, and the cardiac exam in the context of inpatient care.
https://immattersacp.org/archives/2023/07/useful-physical-exam-skills-for-inpatient-assessment.htm
1 Jul 2023
MKSAP Quiz: 2-week history of daily palpitations
A 41-year-old man is evaluated for a 2-week history of daily palpitations that last minutes at a time and resolve spontaneously. The palpitations are not associated with any specific activity. Following a physical exam, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2024/04/09/3.htm
9 Apr 2024
3 physical exam pearls for patients with pain
Pearl No. 1: The Carnett sign can help clinicians determine if imaging is needed to diagnose pain.
https://immattersacp.org/archives/2023/01/3-physical-exam-pearls-for-patients-with-pain.htm
1 Jan 2023
Signs of congestion on physical exam accurately predict heart failure hospitalizations, death
The new analysis of a randomized trial reinforces the significant, ongoing clinical relevance of the physical exam in heart failure, as well as the notion that measuring natriuretic peptides does not substitute for a comprehensive physical exam for risk stratification, study authors said.
https://immattersacp.org/weekly/archives/2019/09/17/2.htm
17 Sep 2019
Motion is the notion for diagnosing shoulder pain
A 60-second examination of the shoulder coupled with a conceptual model of how the shoulder works can help interpret examination findings and make an orthopedic diagnosis.
https://immattersacp.org/archives/2024/03/motion-is-the-notion-for-diagnosing-shoulder-pain.htm
1 Mar 2024
MKSAP Quiz: 3-year history of pain in muscles, joints
A 47-year-old woman is evaluated for a 3-year history of pain in all of her muscles and joints. She is a commercial truck driver. Her sleep is poor, and she awakens unrefreshed. She completes a fibromyalgia diagnostic questionnaire and meets the criteria for fibromyalgia. She has anxiety and depression. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/04/02/3.htm
2 Apr 2024
MKSAP Quiz: Evaluation for cough, wheezing
A 35-year-old woman is evaluated for a cough and wheezing occurring several times during the week, unrelated to exercise. She has a history of asthma that was previously well controlled with a budesonide inhaler. She is also taking albuterol five times weekly with good response. Following a physical exam, what treatment should be started?
https://immattersacp.org/weekly/archives/2024/03/26/3.htm
26 Mar 2024