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MKSAP Quiz: 8-month history of crampy abdominal pain, loose bowel movements

A 42-year-old woman is evaluated for an 8-month history of crampy abdominal pain and three loose bowel movements per day. The pain is relieved by a bowel movement. There are no nocturnal bowel movements, and there is no blood or dark tarry material in the stool. She has not had fever, night sweats, or weight loss. She has a history of Hashimoto disease and is treated with levothyroxine. Following a physical exam, rectal exam, and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/08/26/3.htm
26 Aug 2014

Sibutramine pulled from the market

Sibutramine pulled from the market
https://immattersacp.org/weekly/archives/2010/10/19/8.htm
19 Oct 2010

Warning about clozapine and constipation

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/04/warning-about-clozapine-and-constipation.htm
1 Apr 2020

MKSAP Quiz: 6-month history of diarrhea and bloating

A 51-year-old woman is evaluated for a 6-month history of diarrhea and bloating. She reports four to six loose stools per day, with occasional nocturnal stools. She has had a few episodes of incontinence secondary to urgency. She has not had melena or hematochezia but notes an occasional oily appearance to the stool. Following a physical exam and lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/05/13/3.htm
13 May 2014

ACP supports National Obesity Care Week

The campaign will highlight the need to fight a national obesity epidemic and offer recommendations for complete care that will ultimately lead to better health, including in areas such as behavioral treatment, medications, support groups, and weight management products and programs.
https://immattersacp.org/weekly/archives/2015/11/03/5.htm
3 Nov 2015

MKSAP Quiz: 3-month history of progressively worsening diarrhea

A 19-year-old woman is evaluated for a 3-month history of progressively worsening diarrhea, abdominal pain, and weight loss. Her brother was diagnosed with Crohn disease at age 16 years. Following a physical exam and colonoscopy, what is the most effective maintenance treatment?
https://immattersacp.org/weekly/archives/2013/07/30/3.htm
30 Jul 2013

MKSAP Quiz: 3-month history of left knee pain

A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. Following a physical exam, lab results and a radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2013/12/17/3.htm
17 Dec 2013

MKSAP Quiz: Recent onset of fatigue and muscle weakness

A 52-year-old man is evaluated for recent onset of fatigue and muscle weakness. The patient further reports nocturia and polyuria over the past 4 weeks and a 6-kg (13.2-lb) weight loss over the past 2 months. He has COPD and a 55-pack-year smoking history. His only medication is an albuterol inhaler. Temporal muscle wasting and proximal muscle wasting and weakness are noted in the upper and lower extremities on physical exam. Hyperpigmented mucous membranes are noted. Following laboratory studies and examination of the toenail beds, what is the most likely cause of this patient's findings?.
https://immattersacp.org/archives/2014/02/mksap.htm
1 Feb 2014

MKSAP Quiz: 3-month history of left knee pain

A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. The patient has hypertension, hypercholesterolemia, and chronic stable angina. Medications are lisinopril, metoprolol, simvastatin, low-dose aspirin, and nitroglycerin as needed. Following a physical exam, lab results and radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/04/01/3.htm
1 Apr 2014

MKSAP Quiz: Acute onset of vision loss

A 64-year-old man is evaluated in the emergency department for acute onset of vision loss in the left eye, which began 1 hour ago. He can barely see his own hands in front of his eye. He has no eye pain. Following a physical exam, eye exam, and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/07/mksap-quiz-acute-onset-of-vision-loss.htm
1 Jul 2019

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