Search results for "Diagnosis"
Major shift in thinking about cognitive impairment
Because neurocognitive decline can have a variety of etiologies, a new definition by the DSM-5 defined mild cognitive impairment as a syndrome, and then drilled down to its etiology.
https://immattersacp.org/archives/2019/07/major-shift-in-thinking-about-cognitive-impairment.htm
1 Jul 2019
MKSAP Quiz: Management of a metastatic neuroendocrine tumor
A 48-year-old woman is evaluated following the diagnosis of a metastatic neuroendocrine tumor. Two weeks ago, she underwent ultrasonography for biliary colic, which unexpectedly showed multiple hepatic lesions. Following tests, a physical exam, and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/03/22/3.htm
22 Mar 2022
MKSAP quiz: Diagnose progressive leg pain upon exercising
A 27-year-old man is evaluated for leg pain. The patient is moderately obese (BMI=33) and had been sedentary until recently, when he joined a health club. However, after only a few minutes on the treadmill, he develops progressive pain in both his legs that resolves after a few minutes with rest. What is the most likely diagnosis?.
https://immattersacp.org/archives/2010/01/mksap.htm
1 Jan 2010
Use of warfarin down, DOACs up in commercially insured patients with cirrhosis, nonvalvular afib
While more than half of eligible patients with cirrhosis and concurrent nonvalvular atrial fibrillation did not receive anticoagulation between 2012 and 2019, use of direct oral anticoagulants (DOACs) increased substantially during that time, a recent study found.
https://immattersacp.org/weekly/archives/2023/01/17/4.htm
17 Jan 2023
Antihistamines offered more acute vertigo relief than benzos, but no longer-term benefit
A single dose of antihistamine provided no greater benefit at two hours than ondansetron, droperidol, metoclopramide, or piracetam, and daily antihistamine treatment for a week or month had similar results to placebo.
https://immattersacp.org/weekly/archives/2022/07/26/4.htm
26 Jul 2022
Guideline for Ménière's disease offers 16 key action statements for diagnosis, treatment
An updated guideline from the American Academy of Otolaryngology—Head and Neck Surgery cautions that due to the variety of clinical presentations in patients with definite and probable Ménière's disease, a full and accurate diagnosis may take months to attain.
https://immattersacp.org/weekly/archives/2020/04/14/4.htm
14 Apr 2020
ACG updates, reaffirms guidelines on evaluation, management of patients with celiac disease
The diagnostic approach to celiac disease in adults using serological and histologic data remains unchanged from the American College of Gastroenterology's (ACG) 2013 clinical guidelines.
https://immattersacp.org/weekly/archives/2023/01/17/1.htm
17 Jan 2023
MKSAP Quiz: 12-week history of night sweats, fevers, weight loss
A 33-year-old man is evaluated for a 12-week history of night sweats, fevers, and weight loss without other localizing symptoms. Medical history is otherwise unremarkable, and he takes no medications. Following a physical exam, lab tests, and other procedures, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/01/31/3.htm
31 Jan 2023
MKSAP Quiz: 3-month history of daily headaches
A 64-year-old woman is evaluated for a 3-month history of daily headaches of sudden, spontaneous onset. Following a physical exam and MRI, what is the most appropriate treatment of this patient's headaches?
https://immattersacp.org/weekly/archives/2023/01/24/3.htm
24 Jan 2023
MKSAP Quiz: Evaluation for worsening choking
A 75-year-old man is evaluated for choking that started 3 months ago and has progressively worsened. Parkinson disease was diagnosed 3 months ago. His only medication is carbidopa-levodopa. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/12/07/3.htm
7 Dec 2021