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Get hip to hip pain assessment

HIPROT becomes an easy acronym to remember when evaluating hip pain, one expert said at Internal Medicine Meeting 2022.
https://immattersacp.org/archives/2022/07/get-hip-to-hip-pain-assessment.htm
1 Jul 2022

MKSAP Quiz: 8-week history of postprandial abdominal pain

A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022

Weighing the options for bariatric surgery

Bariatric surgery may be an option for severely obese patients for whom lifestyle changes are not enough. Internists can set up expectations that may improve postsurgical outcomes.
https://immattersacp.org/archives/2016/01/obesity.htm
1 Jan 2016

MKSAP Quiz: Follow-up for diabetes, hyperlipidemia, hypertension

A 68-year-old man is evaluated during a routine follow-up visit. Medical history is significant for type 2 diabetes mellitus, hyperlipidemia, hypertension, and aortofemoral bypass surgery 2 years ago. Following a physical exam, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2022/11/15/3.htm
15 Nov 2022

MKSAP Quiz: Involuntary urine loss with coughing

A 68-year-old woman is evaluated for involuntary urine loss that occurs with coughing, sneezing, and laughing and occasionally with physical exertion. She has no dysuria, urinary frequency, hematuria, or nocturia but does report vaginal dryness and dyspareunia. She performs pelvic floor muscle training exercises four times daily. Following a physical exam and pelvic exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/06/21/3.htm
21 Jun 2022

Osteoarthritis can ease with easy changes

An optimal regimen starting with nonpharmacologic measures can help patients achieve notable relief.
https://immattersacp.org/archives/2021/05/osteoarthritis-can-ease-with-easy-changes.htm
1 May 2021

MKSAP Quiz: 4-week history of lower extremity weakness

A 52-year-old man is evaluated for 4-week history of left lower extremity weakness that began with tripping on the left foot. He now must lift his knee to clear his foot off the ground. He reports no pain but has mild tingling on the lateral border of his left foot. Following a physical exam, lab test, and electromyogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/01/18/3.htm
18 Jan 2022

MKSAP Quiz: Several-month history of pruritic rash

A 20-year-old woman is evaluated for a several-month history of unintentional weight loss, diarrhea, poor glycemic control, and pruritic rash. She was diagnosed with type 1 diabetes mellitus 2 years ago. Medications are insulin glargine and insulin aspart injection. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2022/07/mksap-quiz-several-month-history-of-pruritic-rash.htm
1 Jul 2022

MKSAP Quiz: Evaluation of gynecomastia

A 29-year-old man is evaluated for gynecomastia present for the past 2 years. He also has fatigue, low libido, weight gain, and erectile dysfunction. Following a physical exam, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2023/02/28/3.htm
28 Feb 2023

MKSAP Quiz: Evaluation for hidradenitis suppurativa

A 32-year-old woman is evaluated for hidradenitis suppurativa. She has had tender, foul-smelling, draining nodules in the axillary folds for 4 years. Doxycycline and topical clindamycin have not achieved satisfactory improvement. Following a physical exam and lifestyle support, what is the most appropriate additional treatment?
https://immattersacp.org/archives/2022/10/mksap-quiz-evaluation-for-hidradenitis-suppurativa.htm
1 Oct 2022

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