Search results for "Gastroenterology"
MKSAP Quiz: Progressive dysphagia for 8 months
A 75-year-old man is evaluated for progressive dysphagia of 8 months' duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms and has lost weight. After physical exam, upper endoscopy, and manometry, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/09/25/3.htm
25 Sep 2018
MKSAP Quiz: Fatigue, intermittent rectal bleeding, abdominal pain
A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since her symptoms started. She has no personal or family history of colon cancer or other cancers. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/11/13/3.htm
13 Nov 2018
Colorectal screening methods debated
The prevention successes achieved by colorectal cancer screening have been well documented, but the debate persists regarding to what extent should doctors insist on colonoscopy, rather than allowing patients to select a method that they are more likely to consistently follow.
https://immattersacp.org/archives/2016/06/colorectal.htm
1 Jun 2016
MKSAP Quiz: 2-month history of diarrhea
A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/03/3.htm
3 Jul 2018
How COVID-19 affects the liver
There is increasing evidence of direct, virally mediated liver injury caused by SARS-CoV-2, leading to enzyme elevations, lobular necroinflammation and/or portal interface hepatitis, and steatosis.
https://immattersacp.org/archives/2021/03/how-covid-19-affects-the-liver.htm
1 Mar 2021
MKSAP Quiz: Evaluation during annual follow-up visit
A 33-year-old woman is evaluated during her annual follow-up visit. She has a 2-year history of left-sided ulcerative colitis. All immunizations are up to date, and depression and anxiety screening results are negative. What is the most appropriate health maintenance screening test to perform?
https://immattersacp.org/weekly/archives/2023/03/07/3.htm
7 Mar 2023
Response to linaclotide for IBS constipation can still appear after four weeks
An industry-funded analysis of four randomized trials of linaclotide for irritable bowel syndrome (IBS) with constipation found that improvement in abdominal and bowel symptoms occurred after four weeks of treatment in 1 in 6 and 1 in 10 patients, respectively.
https://immattersacp.org/weekly/archives/2022/11/22/4.htm
22 Nov 2022
Textbook edition reflects evolution of hospital medicine
The first update of “Principles and Practice of Hospital Medicine” exemplifies how hospital medicine has evolved and the skills that hospitalists need to have.
https://immattersacp.org/archives/2017/02/textbook.htm
1 Feb 2017
Obituary
Richard Dale Ruppert, MD, MACP, former president of the American Society of Internal Medicine (ASIM), died on Oct. 22, 2012, at the age of 81.
https://immattersacp.org/archives/2014/05/obituary.htm
1 May 2014
MKSAP Quiz: Joint pain, rash, and weakness
A 61-year-old woman is evaluated for joint pain, a rash on her legs, and weakness. She has chronic genotype 1 hepatitis C viral infection. She takes no medication. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/archives/2019/06/mksap-quiz-joint-pain-rash-and-weakness.htm
1 Jun 2019