Search results for "Weight Loss"
MKSAP Quiz: Follow-up after polysomnography
A 42-year-old man is evaluated for follow-up after a diagnosis of moderate obstructive sleep apnea 6 weeks ago. His daytime alertness has improved with continuous positive airway pressure, but the apparatus is cumbersome to transport on his frequent business trips. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/08/15/3.htm
15 Aug 2023
MKSAP Quiz: follow-up for a right-sided pleural effusion
A 57-year-old man is evaluated in follow-up for a right-sided pleural effusion. He initially presented with increasing dyspnea and a constant dull ache on his right side. He also has lost 9.1 kg (20.0 lb) over the last 6 months. Medical history is otherwise unremarkable. Following chest radiographs and repeat thoracentesis, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2016/09/27/3.htm
27 Sep 2016
MKSAP Quiz: shortness of breath of 3 months' duration
A 54-year-old woman is evaluated for shortness of breath of 3 months' duration and a 4.5-kg (10-lb) weight loss over the preceding 2 months. She has a 35-pack-year smoking history. Following a physical exam and further testing, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2015/03/31/3.htm
31 Mar 2015
Wrestling with wearables that screen for afib
Experts remain uncertain how to judge wearables and smartphone apps' cost-effectiveness, data quality, and clinical implications among pre-symptomatic patients diagnosed with atrial fibrillation.
https://immattersacp.org/archives/2020/02/wrestling-with-wearables-that-screen-for-afib.htm
1 Feb 2020
MKSAP Quiz: dyspnea in a patient with end-stage COPD
A 72-year-old man is evaluated for dyspnea at rest. He has end-stage COPD and is on a home hospice program. He has weight loss, reduced functional capacity, and muscle atrophy. His medications are ipratropium, salmeterol, fluticasone, albuterol as needed, and prednisone. He is uncomfortable, with chronic air hunger that has gradually increased over the past 2 weeks. Otherwise, his symptoms have been stable without change in cough, sputum production, or fever.
https://immattersacp.org/weekly/archives/2015/02/03/3.htm
3 Feb 2015
MKSAP Quiz: abdominal pain of several months' duration
A 66-year-old man is evaluated for vague abdominal pain of several months' duration and a 10-kg (22-lb) weight loss. He drinks alcohol socially but does not smoke. The patient is otherwise well, has good performance status, and takes no medications. Following a physical exam, lab studies, and a CT scan, what is the most appropriate initial management of this patient?
https://immattersacp.org/weekly/archives/2014/12/16/3.htm
16 Dec 2014
Weighing options for mid-life women
Talking about diet and exercise habits in mid-life can help guard against incremental weight gain.
https://immattersacp.org/archives/2023/02/weighing-options-for-mid-life-women.htm
1 Feb 2023
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
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
Doctors don't have to dread discussing dieting
Many internists are not discussing obesity and weight loss with their patients, even though they have the best opportunity to offer counseling about diet and new drugs that are now available to help.
https://immattersacp.org/archives/2012/11/diet.htm
1 Nov 2012