Search results for "Diagnosis"
Patients presenting with acute pulmonary embolism in primary care settings can be safely managed without hospitalization, a study finds
Of more than 600 encounters involving pulmonary embolism diagnosis in primary care, patients were sent home in 20.6%, and in 37.8% of encounters referred to the ED, patients were discharged home without events. Only one outpatient had an adverse event within 30 days.
https://immattersacp.org/weekly/archives/2022/01/18/4.htm
18 Jan 2022
MKSAP Quiz: Recently identified monoclonal protein
A 61-year-old woman is seen in consultation regarding a recently identified monoclonal protein. Medical history is notable for rheumatoid arthritis that has been stable for several years. Following a physical exam and lab tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/03/3.htm
3 Jan 2023
Monoclonal antibodies appear safe as COVID-19 treatment during pregnancy
Pregnant patients who received monoclonal antibody treatments had no higher risk for adverse obstetric events but also no significant improvement on COVID-19-related outcomes, a retrospective study found.
https://immattersacp.org/weekly/archives/2022/11/15/2.htm
15 Nov 2022
MKSAP Quiz: Slowly progressive dyspnea
A 30-year-old man is seen in the office for slowly progressive dyspnea that first appeared when walking rapidly or uphill. He denies orthopnea, palpitations, or chest pain. He has no other medical problems and takes no medications. Following a physical exam and lab tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2024/03/mksap-quiz-slowly-progressive-dyspnea.htm
1 Mar 2024
MKSAP Quiz: 1-month history of fever, malaise, weight loss
A 52-year-old woman is evaluated for a 1-month history of fever, malaise, and weight loss. She has a history of cardiomyopathy, for which she received a heart transplant 5 years ago; 3 months ago, an episode of rejection occurred, and high-dose glucocorticoids were initiated. Following a physical exam and CT scan, which infection is the most likely cause of the patient's findings?
https://immattersacp.org/weekly/archives/2024/02/27/3.htm
27 Feb 2024
Bedside tests for a ‘slam-dunk’ delirium diagnosis
Tests for delirium involve a stepped approach of progressively more difficult questions in an attempt to provoke disorganized thinking.
https://immattersacp.org/archives/2022/11/bedside-tests-for-a-slam-dunk-delirium-diagnosis.htm
1 Nov 2022
Latest Core IM podcast episode features “Casablanca Strategy” of diagnosis
The Casablanca Strategy involves reflexively ordering a stereotyped battery of lab tests, and even experienced physicians use it in real-world practice.
https://immattersacp.org/weekly/archives/2019/10/22/6.htm
22 Oct 2019
Calling attention to adult ADHD
Missing an adult diagnosis of attention deficit hyperactivity disorder (ADHD) means patients also miss out on effective, often life-changing treatment.
https://immattersacp.org/archives/2023/04/calling-attention-to-adult-adhd.htm
1 Apr 2023
MKSAP Quiz: Evaluation for decreased libido, erectile dysfunction
A 58-year-old man is evaluated for decreased libido and erectile dysfunction that began insidiously over the past 6 months. He is not having nocturnal or early morning erections. His medical history is otherwise unremarkable. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/02/13/3.htm
13 Feb 2024
New thinking about Alzheimer's diagnosis
New technology and biomarkers have contributed to the detection of Alzheimer's disease, but clinicians are skeptical about the value of a diagnosis without the ability to treat the condition.
https://immattersacp.org/archives/2019/11/new-thinking-about-alzheimers-diagnosis.htm
1 Nov 2019