Search results for "Endocrinology"
MKSAP Quiz: Risks of gender dysphoria treatment
A 37-year-old transgender woman (genetic male, identifies as a female) requests feminizing hormone therapy. She was diagnosed with gender dysphoria by her psychiatrist in accordance with DSM-5 criteria. Following lab studies, what treatment risks should be reviewed with the patient?
https://immattersacp.org/weekly/archives/2023/06/06/3.htm
6 Jun 2023
What to do when one expects everything to fit, but it doesn't
James Hennessey, FACP, reports on a young woman's elevated testosterone level, and how he made a diagnosis even though the lab results and imaging conflicted. Our diagnostic experts consider confirmation bias and how this internist sidestepped being misled.
https://immattersacp.org/archives/2010/01/mindful.htm
1 Jan 2010
MKSAP Quiz: Diagnosing amenorrhea
A 26-year-old woman is evaluated for a 4-month history of secondary amenorrhea after stopping her oral contraceptive pill. What is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2011/05/10/3.htm
10 May 2011
MKSAP Quiz: spontaneous hypokalemia and hypertension
A 59-year-old man is evaluated for recently discovered spontaneous hypokalemia and hypertension. The patient had normal blood pressure at a visit 1 year ago. He has no symptoms and takes no medications. What is the most appropriate initial treatment?
https://immattersacp.org/weekly/archives/2012/09/18/3.htm
18 Sep 2012
MKSAP Quiz: maintaining bone health
A 54-year-old woman comes to the office for advice regarding maintaining bone health. She has no history of fracture. The patient recently had a lumpectomy and radiation therapy to treat breast cancer, is currently taking tamoxifen, and will begin taking an aromatase inhibitor in 2 months. She underwent menopause at age 52 years and has persistent hot flushes. Her risk factors for osteoporosis include a slim body habitus and a mother who had a hip fracture at age 67 years. Following a physical exam, lab results and a dual-energy x-ray absorptiometry scan, what pharmacologic agents can be started in this patient?
https://immattersacp.org/weekly/archives/2015/03/10/3.htm
10 Mar 2015
Managing patients with diabetes and heart failure
Good control of diabetes in the presence of heart failure includes appropriate HbA1c targets, metformin and comprehensive lifestyle change as first-line therapy, and a team approach.
https://immattersacp.org/archives/2019/11/managing-patients-with-diabetes-and-heart-failure.htm
1 Nov 2019
Urinary incontinence is overlooked but treatable
This issue covers topics including urinary incontinence, the new drug class of SGLT2 inhibitors for diabetes, and more on the principles of diabetes care.
https://immattersacp.org/archives/2015/02/editors.htm
1 Feb 2015
Hunting for causes, cures and small game
D. Lynn Loriaux, MACP, talks about how he transitioned from forestry to husbandry to internal medicine, hiw skills at the trumpet, and searching for cures to endocrine diseases at the Institutes of Health.
https://immattersacp.org/archives/2009/06/profile.htm
1 Jun 2009
A silent syndrome with serious side effects
Polycystic ovary syndrome can cause infertility, diabetes and/or metabolic syndrome, and distressing physical symptoms like hirsutism and alopecia. Fortunately, once internists recognize the symptoms the condition can be managed effectively.
https://immattersacp.org/archives/2009/02/pcos.htm
1 Feb 2009
MKSAP Quiz: 3-month history of increasing fatigue and weight gain
A 38-year-old woman reports a 3-month history of increasing fatigue and weight gain. She underwent transsphenoidal surgery 4 years ago to remove a nonfunctioning pituitary macroadenoma, followed 4 months later by radiation therapy because of residual tumor. Following a review of medications, physical exam and lab tests, what is the most appropriate next diagnostic test?
https://immattersacp.org/weekly/archives/2013/10/22/3.htm
22 Oct 2013