Search results for "Physical exam"
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
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: 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
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: 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
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
MKSAP Quiz: Runner evaluation during a marathon
A 22-year-old woman participating in a marathon is evaluated in the medical tent for headache, confusion, and disorientation after she stopped running at mile 20. This is her first marathon. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/03/05/3.htm
5 Mar 2024
MKSAP Quiz: Slowly progressive dyspnea
A 30-year-old man is seen in the office for slowly progressive dyspnea that first appeared when walking rapidly or uphill. He denies orthopnea, palpitations, or chest pain. He has no other medical problems and takes no medications. Following a physical exam and lab tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/03/mksap-quiz-slowly-progressive-dyspnea.htm
1 Mar 2024
MKSAP Quiz: 1-month history of fever, malaise, weight loss
A 52-year-old woman is evaluated for a 1-month history of fever, malaise, and weight loss. She has a history of cardiomyopathy, for which she received a heart transplant 5 years ago; 3 months ago, an episode of rejection occurred, and high-dose glucocorticoids were initiated. Following a physical exam and CT scan, which infection is the most likely cause of the patient's findings?
https://immattersacp.org/weekly/archives/2024/02/27/3.htm
27 Feb 2024
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