Search results for "Critical care"
MKSAP Quiz: Acute onset of fever, chills, cough
A 27-year-old man is evaluated for the acute onset of fever, chills, body aches, and dry cough that began last evening after returning home from trimming timber at a saw mill. He has similar symptoms that have been occurring two to three times a month for the past 3 months. Following a physical exam, pulmonary exam, and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/archives/2018/05/mksap-quiz-acute-onset-of-fever-chills-cough.htm
1 May 2018
When visits become ‘on the record’
With recording technology becoming ubiquitous, more patients are recording their encounters with physicians, sometimes without their knowledge.
https://immattersacp.org/archives/2018/04/when-visits-become-on-the-record.htm
1 Apr 2018
MKSAP Quiz: Follow-up for idiopathic pulmonary fibrosis
A 58-year-old man is evaluated in follow-up for idiopathic pulmonary fibrosis (IPF), which was diagnosed 2 years ago. He has cough and shortness of breath and now requires supplemental oxygen at rest. Previous evaluations have not identified any cause for his symptoms other than progressive IPF. Following a physical exam, pulmonary exam, and 6-minute walk test, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/02/27/3.htm
27 Feb 2018
Bringing medicine back to the bedside
The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018
MKSAP Quiz: Routine follow-up for very severe COPD
A 75-year-old man is seen for routine follow-up for very severe COPD. He has constant dyspnea and air hunger and spends most of the day in a chair. He has had no change in baseline cough and sputum production. He has had multiple COPD exacerbations that required ICU admission and intubation. He has not benefited from pulmonary rehabilitation in the past. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/11/07/3.htm
7 Nov 2017
MKSAP quiz: Evaluation for hematemesis
A 57-year-old woman is evaluated in the emergency department for an episode of hematemesis that occurred 1 hour ago. She had previously felt well except for a recent knee injury, for which she has been taking ibuprofen. She currently is experiencing lightheadedness and weakness. Following a physical exam and lab studies, what is the most appropriate form of catheter access for this patient?
https://immattersacp.org/weekly/archives/2017/08/08/3.htm
8 Aug 2017
Clearing patients for takeoff a new duty for internists
More than 100,000 pilots annually can now request a comprehensive physical examination and medication review from any state-licensed physician. What should internists look for when faced with such a request?
https://immattersacp.org/archives/2017/07/clearing-patients-for-takeoff-a-new-duty-for-internists.htm
1 Jul 2017
MKSAP Quiz: 1-year history of increasing dyspnea
A 72-year-old man is evaluated for a 2-year history of cough and a 1-year history of increasing dyspnea. He describes the cough as nonproductive, and his shortness of breath is worse with exertion. He does not have chest pain, orthopnea, paroxysmal nocturnal dyspnea, or any other symptoms. He has a 15-pack-year smoking history but quit 40 years ago. He worked as a construction worker for 40 years. Following a physical exam and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/05/02/3.htm
2 May 2017
Managing superbugs in your community
General internists are poised to assume a key role in tackling the increasingly formidable threat of antimicrobial resistance.
https://immattersacp.org/archives/2017/05/superbugs.htm
1 May 2017
DynaMed Plus image quiz: Thrombosis
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular flow following successful thrombolysis, as might occur after the patient is treated with intravenous alteplase within 180 minutes of stroke onset. Post-thrombolytic therapy, what is this patient is most likely to have?
https://immattersacp.org/archives/2017/04/dynamed.htm
1 Apr 2017