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MKSAP Quiz: evaluation for a rapidly enlarging neck mass

This week's quiz asks readers to evaluate a 78-year-old woman with a rapidly enlarging neck mass that has been present for 4 weeks and is associated with neck discomfort, dysphagia, and hoarseness.
https://immattersacp.org/weekly/archives/2015/07/07/3.htm
7 Jul 2015

Reconciling conflicting diabetes guidance

ACP and other professional medical societies disagree on a proper target for the long-term benefits of glucose control.
https://immattersacp.org/archives/2018/06/reconciling-conflicting-diabetes-guidance.htm
1 Jun 2018

Early interventions overlooked in OA

Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
https://immattersacp.org/archives/2013/05/osteoarthritis.htm
1 May 2013

MKSAP Quiz: routine examination for risk of rheumatoid arthritis

A 29-year-old woman is evaluated during a routine examination. She seeks advice in reducing her personal risk of developing rheumatoid arthritis, because her mother was recently diagnosed with the disorder. What lifestyle modifications are most likely to reduce the patient's risk of developing rheumatoid arthritis?
https://immattersacp.org/weekly/archives/2015/06/16/3.htm
16 Jun 2015

Consider GERD in patients with pulmonary diseases

Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014

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

Obese, nondiabetic patients lost weight with liraglutide injections

A manufacturer-funded double-blind trial examined 3,731 patients randomly assigned in a 2:1 ratio to receive 3.0 mg of liraglutide per day or placebo.
https://immattersacp.org/weekly/archives/2015/07/07/1.htm
7 Jul 2015

MKSAP Quiz: 2-week history of difficulty swallowing

A 67-year-old man is evaluated in the emergency department with a 3-day history of weakness and nausea and a 2-week history of difficulty swallowing. He has lost 22.7 kg (50 lb) during the past year. He has no other symptoms. History is significant for a 30-pack-year history of smoking. Following a physical exam, lab studies, and chest CT, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/11/mksap-quiz-2-week-history-of-difficulty-swallowing.htm
1 Nov 2019

Experts offer optimism on overcoming obesity

ACP and Annals of Internal Medicine hosted a forum on managing the epidemic levels of obesity in America.
https://immattersacp.org/archives/2023/05/experts-offer-optimism-on-overcoming-obesity.htm
1 May 2023

Multidomain intervention may be associated with improved cognitive function in at-risk elderly patients

A program of diet, exercise, cognitive training, and vascular risk monitoring was associated with improvements in cognitive function, a recent study of at-risk elderly patients found.
https://immattersacp.org/weekly/archives/2015/03/17/2.htm
17 Mar 2015

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