Search results for "Diagnosis"
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: Management of a metastatic neuroendocrine tumor
A 48-year-old woman is evaluated following the diagnosis of a metastatic neuroendocrine tumor. Two weeks ago, she underwent ultrasonography for biliary colic, which unexpectedly showed multiple hepatic lesions. Following tests, a physical exam, and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/03/22/3.htm
22 Mar 2022
ID, liver societies update guidance for HCV testing, management
Major changes to guidance on hepatitis C virus (HCV) include an emphasis on universal screening, new recommendations for managing incomplete treatment adherence, and expansion of treatment eligibility, among others.
https://immattersacp.org/weekly/archives/2023/06/06/1.htm
6 Jun 2023
ACG updates, reaffirms guidelines on evaluation, management of patients with celiac disease
The diagnostic approach to celiac disease in adults using serological and histologic data remains unchanged from the American College of Gastroenterology's (ACG) 2013 clinical guidelines.
https://immattersacp.org/weekly/archives/2023/01/17/1.htm
17 Jan 2023
Antihistamines offered more acute vertigo relief than benzos, but no longer-term benefit
A single dose of antihistamine provided no greater benefit at two hours than ondansetron, droperidol, metoclopramide, or piracetam, and daily antihistamine treatment for a week or month had similar results to placebo.
https://immattersacp.org/weekly/archives/2022/07/26/4.htm
26 Jul 2022
MKSAP Quiz: Evaluation for worsening choking
A 75-year-old man is evaluated for choking that started 3 months ago and has progressively worsened. Parkinson disease was diagnosed 3 months ago. His only medication is carbidopa-levodopa. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/12/07/3.htm
7 Dec 2021
Use of warfarin down, DOACs up in commercially insured patients with cirrhosis, nonvalvular afib
While more than half of eligible patients with cirrhosis and concurrent nonvalvular atrial fibrillation did not receive anticoagulation between 2012 and 2019, use of direct oral anticoagulants (DOACs) increased substantially during that time, a recent study found.
https://immattersacp.org/weekly/archives/2023/01/17/4.htm
17 Jan 2023
MKSAP Quiz: 12-week history of night sweats, fevers, weight loss
A 33-year-old man is evaluated for a 12-week history of night sweats, fevers, and weight loss without other localizing symptoms. Medical history is otherwise unremarkable, and he takes no medications. Following a physical exam, lab tests, and other procedures, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/31/3.htm
31 Jan 2023
MKSAP Quiz: 3-month history of daily headaches
A 64-year-old woman is evaluated for a 3-month history of daily headaches of sudden, spontaneous onset. Following a physical exam and MRI, what is the most appropriate treatment of this patient's headaches?
https://immattersacp.org/weekly/archives/2023/01/24/3.htm
24 Jan 2023
Patients presenting with acute pulmonary embolism in primary care settings can be safely managed without hospitalization, a study finds
Of more than 600 encounters involving pulmonary embolism diagnosis in primary care, patients were sent home in 20.6%, and in 37.8% of encounters referred to the ED, patients were discharged home without events. Only one outpatient had an adverse event within 30 days.
https://immattersacp.org/weekly/archives/2022/01/18/4.htm
18 Jan 2022