Search results for "Genetics"
MKSAP Quiz: evaluation for elevated blood pressure
A 54-year-old man is evaluated for elevated blood pressure noted recently at a local health fair. On this visit and on two subsequent nurse visits, the patient's blood pressure measurements are less than 140/90 mm Hg. Following lab studies and an electrocardiogram, what is the next most appropriate step in management?
https://immattersacp.org/weekly/archives/2017/07/25/3.htm
25 Jul 2017
MKSAP Quiz: 2-year history of fatigue, low libido
A 34-year-old man is evaluated for a 2-year history of fatigue, low libido, and infertility. His family history is notable for a brother with infertility. His medical history is unremarkable, and he takes no medications. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2016/11/01/3.htm
1 Nov 2016
Internists becoming the ‘gatekeepers' for genetic testing
Genetic tests have made tremendous advances, and primary care physicians are going to be the ones who determine whether they're used, and how frequently. Here are a few pointers from Internal Medicine 2012 on what criteria to use.
https://immattersacp.org/archives/2012/06/genetics.htm
1 Jun 2012
MKSAP Quiz: evaluation for progressive left knee pain
A 34-year-old man is evaluated for progressive left knee pain. The pain causes difficulty with his work as a mail carrier, particularly when walking. His occupation does not require repetitive bending. He played football in college and experienced left knee trauma during sports participation; he underwent left meniscectomy and stopped playing sports. His mother has osteoarthritis of the hands that developed at age 65 years. Following a physical exam and radiographs, what is the most likely cause of this patient's left knee osteoarthritis?
https://immattersacp.org/weekly/archives/2016/10/04/3.htm
4 Oct 2016
Over-the-counter test for flu, COVID-19 authorized
This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2023/04/over-the-counter-test-for-flu-covid-19-authorized.htm
1 Apr 2023
Demystifying the diagnosis of PCOS
Polycystic ovary syndrome, the most common reproductive disorder in the world, may present with varying diagnostic criteria, so internists can focus on two simple characteristics of the syndrome to help their clinical judgment.
https://immattersacp.org/archives/2018/11/demystifying-the-diagnosis-of-pcos.htm
1 Nov 2018
Recalls for oral docusate sodium, INR monitoring system
This column reviews a recall of an oral liquid docusate sodium solution because of contamination and of an international normalized ratio monitoring system because it may provide significantly lower results than another method.
https://immattersacp.org/archives/2016/09/fda.htm
1 Sep 2016
Why internists should care about lipoprotein(a)
Lipoprotein(a) can be a significant risk factor for heart disease and requires consideration when developing a plan of care, especially in the highest risk patients.
https://immattersacp.org/archives/2020/05/why-internists-should-care-about-lipoproteina.htm
1 May 2020
MKSAP Quiz: 8-year history of joint pain
A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2017/05/mksap.htm
1 May 2017
Details debated in breast screening
Amid a thicket of competing and sometimes conflicting studies about breast cancer screening, medical groups have adopted differing stances on how to address the conundrum of harms versus benefits.
https://immattersacp.org/archives/2017/03/breast-screening.htm
1 Mar 2017