Search results for "Gastroenterology"
MKSAP Quiz: H. pylori eradication
A 45-year-old man is evaluated after a positive result on fecal antigen testing for Helicobacter pylori, obtained 2 months after he completed eradication therapy for H. pylori gastritis, and duodenal ulcer documented by upper endoscopy. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/11/05/3.htm
5 Nov 2024
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I.M. Matters from ACP provides news and information for internal medicine physicians about the practice of medicine and reports on the policies, products, and activities of ACP.
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Obituary
The College notes the passing of a former Chapter Governor.
https://immattersacp.org/archives/2024/10/obituary.htm
1 Oct 2024
More tools available for treating IBS
Irritable bowel syndrome (IBS) is not a new disorder, but physicians' understanding of its pathophysiology and treatment has greatly progressed over the years.
https://immattersacp.org/archives/2023/01/more-tools-available-for-treating-ibs.htm
1 Jan 2023
MKSAP Quiz: Follow-up on blood tests
A 45-year-old woman is evaluated at follow-up for abnormal alkaline phosphatase levels on three previous blood tests. She has mild pruritus. She has no family history of liver disease. Following a physical exam and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2024/05/07/3.htm
7 May 2024
MKSAP Quiz: 2-week history of bright red blood per rectum
A 55-year-old man is evaluated for a 2-week history of intermittent bright red blood per rectum and pain with defecation. He has marked anorectal discomfort with wiping, and blood is visualized in the toilet water and on toilet paper. Following inspection of the perianal region, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/08/13/3.htm
13 Aug 2024
Improving celiac disease diagnosis
Celiac disease should be part of the differential diagnosis for several classic clinical presentations, but atypical symptoms, including constipation, can cause doctors to overlook some patients.
https://immattersacp.org/archives/2023/02/improving-celiac-disease-diagnosis.htm
1 Feb 2023
MKSAP Quiz: Evaluation for intestinal metaplasia
A 40-year-old woman is evaluated for intestinal metaplasia found on recent upper endoscopy to assess postprandial pain. No ulcers were visualized but generalized erythema and irregular mucosal pattern was noted. Following biopsy specimens, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/01/30/3.htm
30 Jan 2024
Profits before patients: Private equity and commodification
Health care system consolidation and market- and profit-driven motivation have become at odds with the realities of health care, where market forces do not perfectly align with the product line.
https://immattersacp.org/archives/2024/07/profits-before-patients-private-equity-and-commodification.htm
1 Jul 2024
A new approach to diverticulitis
Evidence is fueling new guidelines suggesting internists treat most cases of uncomplicated diverticulitis in an outpatient setting, without antibiotics.
https://immattersacp.org/archives/2022/04/a-new-approach-to-diverticulitis.htm
1 Apr 2022