Search results for "Physical exam"
Improving celiac disease diagnosis
Celiac disease should be part of the differential diagnosis for several classic clinical presentations, but atypical symptoms, including constipation, can cause doctors to overlook some patients.
https://immattersacp.org/archives/2023/02/improving-celiac-disease-diagnosis.htm
1 Feb 2023
Manage symptoms of menopause
As a clinical diagnosis with several effective treatments, genitourinary syndrome of menopause falls within the internal medicine physician's broad domain.
https://immattersacp.org/archives/2023/07/manage-symptoms-of-menopause.htm
1 Jul 2023
MKSAP Quiz: Evaluation for fatigue
A 42-year-old woman is evaluated for several months of fatigue. She reports a normal diet and no gastrointestinal symptoms. Medical history is notable for hypothyroidism and vitiligo. Following a physical exam and lab studies, what is the most appropriate initial diagnostic test?
https://immattersacp.org/archives/2022/11/mksap-quiz-evaluation-for-fatigue.htm
1 Nov 2022
MKSAP Quiz: 6-month history of dyspnea on exertion
A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Following a physical exam, pulmonary function testing, and high-resolution CT, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/11/19/3.htm
19 Nov 2019
More tools available for treating IBS
Irritable bowel syndrome (IBS) is not a new disorder, but physicians' understanding of its pathophysiology and treatment has greatly progressed over the years.
https://immattersacp.org/archives/2023/01/more-tools-available-for-treating-ibs.htm
1 Jan 2023
MKSAP Quiz: Evaluation for a carotid bruit
A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologic symptoms or visual loss. He has type 2 diabetes mellitus and hyperlipidemia treated with metformin, moderate-intensity pravastatin, and aspirin. Following a physical exam, neurological exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/11/12/3.htm
12 Nov 2019
MKSAP Quiz: Ongoing symptoms of dysphagia
A 30-year-old man is evaluated for ongoing symptoms of dysphagia. He was previously diagnosed with eosinophilic esophagitis on upper endoscopy and has completed an 8-week course of swallowed aerosolized fluticasone, which did not alleviate his symptoms. Following a physical exam and upper endoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/10/01/3.htm
1 Oct 2019
MKSAP Quiz: Evaluation for a firm, flesh-colored lesion
A 40-year-old man is evaluated for a firm, flesh-colored lesion that has been growing on the back for several months. Foul-smelling material can be expressed from the lesion. Following a physical exam, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2019/09/17/3.htm
17 Sep 2019
MKSAP Quiz: Flushing of the face of 1 year's duration
A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. Following a physical exam, which medications should be discontinued prior to screening for secondary causes of hypertension?
https://immattersacp.org/weekly/archives/2019/09/24/3.htm
24 Sep 2019
MKSAP Quiz: Lower extremity edema, rash
A 31-year-old woman is evaluated for lower extremity edema, a rash over both legs, and fatigue that have worsened during the past 3 months. She has no other medical problems and takes no medications. Following a physical exam and lab studies, what viral study will support the most likely diagnosis?
https://immattersacp.org/archives/2023/02/mksap-quiz-lower-extremity-edema-rash.htm
1 Feb 2023