Search results for "Imaging"
Teach-back
Reflection on the past year as ACP president has taught lessons on advocacy and the scope of medicine, among other lessons.
https://immattersacp.org/archives/2018/04/teach-back.htm
1 Apr 2018
Race-based spirometry equations may miss emphysema in Black patients
An observational study of Black and White patients who had both spirometry and a CT scan found that emphysema is often present before spirometry results become abnormal, especially in Black men, and that using spirometry alone may overestimate respiratory health.
https://immattersacp.org/weekly/archives/2022/07/19/1.htm
19 Jul 2022
Headaches that should flag further attention
Every patient with a headache needs to have secondary causes ruled out, and the acronym SNOOP4 is easy to adopt and use.
https://immattersacp.org/archives/2018/01/headaches-that-should-flag-further-attention.htm
1 Jan 2018
New warning for testosterone, approval for inhaled insulin
This update covers a revised warning on testosterone products about the risk of venous thromboembolism, and approval of a fast-acting inhaled insulin to treat diabetes in adults.
https://immattersacp.org/archives/2014/09/fda.htm
1 Sep 2014
MKSAP Quiz: 5-month history of exertional chest discomfort
A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019
MKSAP Quiz: 2-month history of increased dyspnea
A 48-year-old woman is evaluated for a 2-month history of increased dyspnea, wheezing, and nonproductive cough. She also reports intermittent pain and swelling in the wrists and knees for the past 6 months. She was diagnosed with scleritis of the left eye 1 month ago that improved with glucocorticoid drops. She also had two episodes of right pinna pain, redness, and swelling. After physical examination, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/01/mksap-quiz-2-month-history-of-increased-dyspnea.htm
1 Jan 2020
MKSAP Quiz: Numbness, tingling, weakness in arm
A 35-year-old woman is evaluated for numbness, tingling, and weakness in her left arm that radiates from the shoulder to the fingers. Her symptoms began 3 months ago and appear to be worsening. Following physical and neurological exams and electrodiagnostic studies, what is the most appropriate therapy for this patient?
https://immattersacp.org/weekly/archives/2021/04/20/3.htm
20 Apr 2021
What to do when one expects everything to fit, but it doesn't
James Hennessey, FACP, reports on a young woman's elevated testosterone level, and how he made a diagnosis even though the lab results and imaging conflicted. Our diagnostic experts consider confirmation bias and how this internist sidestepped being misled.
https://immattersacp.org/archives/2010/01/mindful.htm
1 Jan 2010
MKSAP quiz: Follow-up for hepatitis B
A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection. Following a physical exam, lab studies, and ultrasound, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/09/19/3.htm
19 Sep 2017
ATS/IDSA release clinical practice guideline on diagnosing, treating CAP
The new American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA) guideline updates the 2007 community-acquired pneumonia (CAP) guideline, and changes include a different perspective on macrolides.
https://immattersacp.org/weekly/archives/2019/10/08/4.htm
8 Oct 2019