Search results for "Gastroenterology"
MKSAP Quiz: 6-month history of dysphagia
A 50-year-old man is evaluated for a 6-month history of dysphagia. He describes a sensation of both solids and liquids sticking in the midesophageal area. This sensation has slowly worsened over time. He also describes intermittent midsternal discomfort that is nonexertional and is usually precipitated by swallowing food. He has lost 4.5 kg (10.0 lb). He has had no history of heartburn or acid regurgitation. Following a physical exam and barium swallow, what is the most appropriate management?.
https://immattersacp.org/archives/2014/03/mksap.htm
1 Mar 2014
Expert consensus says PPIs, antiplatelets can be used together
Expert consensus says PPIs, antiplatelets can be used togetherReimbursement cuts improved evidence-based use of prostate drugs
https://immattersacp.org/weekly/archives/2010/11/09/1.htm
9 Nov 2010
New guideline released on diagnosis, management of pancreatic cysts
The American Gastroenterological Association (AGA) released a new guideline last week on the diagnosis and management of asymptomatic neoplastic pancreatic cysts.
https://immattersacp.org/weekly/archives/2015/03/31/1.htm
31 Mar 2015
MKSAP Quiz: Fever and abdominal pain
A 45-year-old man is admitted to the hospital for a 2-day history of fever and abdominal pain. His medical history is notable for cirrhosis due to chronic hepatitis C, esophageal varices, ascites, and minimal hepatic encephalopathy. Abdominal ultrasound discloses cirrhosis, splenomegaly, and ascites. His albumin level is consistent with spontaneous bacterial peritonitis. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2013/05/07/3.htm
7 May 2013
MKSAP Quiz: ED evaluation for acute onset of pain
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes azathioprine. On physical examination, she appears ill. Following aggressive fluid resuscitation, temperature is 38.9° C (102.0° F), blood pressure is 70/40 mm Hg, pulse rate is 148/min, and respiration rate is 35/min. Abdominal examination discloses absent bowel sounds, distention, and diffuse marked tenderness with mild palpation. Following lab studies and the results of a radiograph, what is the most appropriate management?.
https://immattersacp.org/archives/2014/01/mksap.htm
1 Jan 2014
MKSAP Quiz: 10-day history of malaise, discomfort and progressive jaundice
A 32-year-old woman is evaluated for a 10-day history of malaise, right upper quadrant discomfort, and progressive jaundice. She has had no recent travel outside of the United States, does not drink alcohol, and has no recent ingestions of drugs, including acetaminophen or herbal remedies. Up until this time, she has been healthy. She has a history of type 1 diabetes mellitus for which she takes insulin glargine and insulin detemir. Following a physical exam and lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2013/10/29/3.htm
29 Oct 2013
MKSAP Quiz: Aspirin management before polypectomy
A 58-year-old man is counseled before undergoing colonoscopy and polypectomy in 10 days' time. Two years earlier, he had an inferior wall myocardial infarction. His medications are low-dose aspirin, atorvastatin, metoprolol, and enalapril. What is the most appropriate management of his aspirin therapy?
https://immattersacp.org/weekly/archives/2021/04/13/3.htm
13 Apr 2021
MKSAP Quiz: persistent heartburn and regurgitation
A 50-year-old man is evaluated for persistent heartburn and regurgitation despite taking a high-dose proton-pump inhibitor twice a day for 6 months. His symptoms have improved, but he continues to have symptoms many times a week. He has not had dysphagia, chest pain or weight loss. He has significantly modified his diet. His only medication is esomeprazole, 40 mg twice a day, which he takes as directed. Endoscopy reveals persistent esophagitis and a moderately large hiatal hernia. His BMI is 34. What is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2014/02/04/3.htm
4 Feb 2014
Internal medicine residency match results encouraging
The number of U.S. senior medical students choosing categorical internal medicine residencies increased this year for the fourth consecutive year, according to the 2013 National Resident Matching Program.
https://immattersacp.org/weekly/archives/2013/03/19/1.htm
19 Mar 2013
Internal medicine residency match results virtually unchanged from last year
The number of U.S. senior medical students choosing categorical internal medicine residencies increased slightly for the fifth consecutive year. According to the 2014 National Resident Matching Program, 3,167 U.S. medical school seniors matched for residency training in internal medicine.
https://immattersacp.org/weekly/archives/2014/03/25/1.htm
25 Mar 2014