Search results for "Hepatology"
MKSAP Quiz: Evaluation for follow-up of abdominal pain
A 35-year-old woman is evaluated for follow-up of abdominal pain, which has prompted multiple emergency department visits. CT scans have revealed intussusception. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/10/mksap-quiz-evaluation-for-follow-up-of-abdominal-pain.htm
1 Oct 2021
MKSAP Quiz: Intractable pruritus during pregnancy
A 22-year-old woman is evaluated for intractable pruritus that keeps her awake at night. She is in her 25th week of pregnancy. Following a physical exam, lab studies, tests for hepatitis, and an ultrasound, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/07/27/3.htm
27 Jul 2021
MKSAP Quiz: 5-day history of abdominal pain
This week's quiz asks readers to evaluate a 32-year-old man who visits the emergency department for a 5-day history of worsening crampy abdominal pain and frequent loose bowel movements.
https://immattersacp.org/weekly/archives/2011/11/01/3.htm
1 Nov 2011
Addressing the gut-brain connection in IBS
While psychotherapies are effective treatments for some digestive disorders, stigma around both functional gut disorders and mental health diagnoses limits uptake, both for physicians and patients.
https://immattersacp.org/archives/2019/09/addressing-the-gut-brain-connection-in-ibs.htm
1 Sep 2019
MKSAP Quiz: follow-up for elevated liver chemistry tests
A 42-year-old man is evaluated in follow-up for elevated liver chemistry tests. Abdominal ultrasound reveals increased hepatic echotexture consistent with hepatic steatosis. Hepatic configuration is otherwise normal. In addition to weight loss, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2012/11/06/3.htm
6 Nov 2012
MKSAP Quiz: Follow-up of ulcerative colitis
A 38-year-old man is evaluated during a routine examination. He was diagnosed with ulcerative colitis 10 years ago and is currently asymptomatic. His last colonoscopy, performed at the time of diagnosis, showed mildly active extensive colitis extending to the hepatic flexure. Physical and abdominal examinations are normal. What is the most appropriate colonoscopy interval for this patient?
https://immattersacp.org/weekly/archives/2013/01/08/3.htm
8 Jan 2013
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
MKSAP Quiz: Incidental gallbladder findings
A 65-year-old man is evaluated after a screening ultrasound for abdominal aortic aneurysm showed incidental gallbladder findings. He reports no symptoms. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/07/14/3.htm
14 Jul 2020
MKSAP Quiz: Episodic nausea, bloating, epigastric pain
A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021
MKSAP Quiz: Follow-up for Barrett esophagus
A 65-year-old man is evaluated with upper endoscopy in follow-up for Barrett esophagus. He has had heartburn for more than 15 years, but his symptoms have been well controlled with daily omeprazole. Biopsies confirm evidence of Barrett esophagus with low-grade dysplasia. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/10/06/3.htm
6 Oct 2020