Search results for "Gastroenterology"
MKSAP Quiz: evaluated after a colonoscopy
A 65-year-old man is evaluated after a recent colonoscopy, which disclosed a 2.5-cm pedunculated polyp in the sigmoid colon. The polyp was removed in its entirety in a single piece. Biopsy results showed a well-differentiated adenocarcinoma confined to the submucosa without evidence of lymphovascular involvement and a 1-mm margin. There is no family history of colorectal cancer. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/10/06/3.htm
6 Oct 2015
New Doctor's Dilemma™ app for iPhone
A new iPhone app for ACP's Doctor's Dilemma is now available.
https://immattersacp.org/weekly/archives/2010/05/18/9.htm
18 May 2010
So you've discovered a pancreatic cyst …
Internists should follow a stepwise progression of diagnosis and management of pancreatic cysts.
https://immattersacp.org/archives/2019/06/so-youve-discovered-a-pancreatic-cyst.htm
1 Jun 2019
MKSAP Quiz: follow-up after hospitalization for a large bleeding gastric ulcer
A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Following a physical exam and upper endoscopy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/11/24/3.htm
24 Nov 2015
MKSAP Quiz: 55-year-old man during a routine examination
This week's quiz asks readers to evaluate a man with a family history of hereditary hemochromatosis who drinks six to eight cans of beer per night.
https://immattersacp.org/weekly/archives/2015/08/18/3.htm
18 Aug 2015
Guidelines update management of eosinophilic esophagitis
Recommendations from the American Gastroenterological Association and the Joint Task Force for Allergy-Immunology Practice Parameters cover use of proton-pump inhibitors, steroids, diets, and endoscopic dilation.
https://immattersacp.org/weekly/archives/2020/05/04/4.htm
4 May 2020
Standard triple therapy may no longer be best for H. pylori eradication treatment
Standard triple treatment may be losing effectiveness in most areas of the world due to increasing resistance to clarithromycin and metronidazole.
https://immattersacp.org/weekly/archives/2015/08/25/2.htm
25 Aug 2015
GASTROENTEROLOGY “Probably the biggest negative is that it car-ries ...
GASTROENTEROLOGY. “Probably the biggest negative is that it car-ries a social burden with regards to isolationduring social events or while traveling,” hesaid. ... Gastroenterology.2013;145:320-8.e1-3. [PMID: 23648697] doi:10.1053/j.gastro.2013.04.051. DiGiacomo DV, Tennyson CA, Green PH, Demmer RT.
https://immattersacp.org/archives/2014/09/acpi-201409-puzzle_t2.pdf
20 Aug 2014
Consider GERD in patients with pulmonary diseases
Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014
MKSAP Quiz: 1-month history of a skin ulcer
A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically refractory colonic Crohn disease. She has not had small-bowel involvement, and her ostomy output has been stable since surgery. Following a physical exam and skin findings, what is the most likely cause?.
https://immattersacp.org/archives/2015/11/mksap.htm
1 Nov 2015