Search results for "Gastroenterology"
MKSAP Quiz: Episodic nausea, bloating, epigastric pain
A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021
MKSAP Quiz: Incidental gallbladder findings
A 65-year-old man is evaluated after a screening ultrasound for abdominal aortic aneurysm showed incidental gallbladder findings. He reports no symptoms. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/07/14/3.htm
14 Jul 2020
Obituary
Joel S. Levine, MD, MACP, died on Oct. 2 at the age of 73.
https://immattersacp.org/archives/2020/11/obituary.htm
1 Nov 2020
MKSAP Quiz: Follow-up for Barrett esophagus
A 65-year-old man is evaluated with upper endoscopy in follow-up for Barrett esophagus. He has had heartburn for more than 15 years, but his symptoms have been well controlled with daily omeprazole. Biopsies confirm evidence of Barrett esophagus with low-grade dysplasia. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/10/06/3.htm
6 Oct 2020
MKSAP Quiz: 8-week history of postprandial abdominal pain
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022
Debates tackle clinical relevance of GI disorders
The conditions of ineffective esophageal motility and eosinophilic esophagitis underwent debate between experts about their clinical significance and best management practices.
https://immattersacp.org/archives/2021/07/debates-tackle-clinical-relevance-of-gi-disorders.htm
1 Jul 2021
MKSAP Quiz: 2-month history of a burning sensation
A 45-year-old man is evaluated for a 2-month history of a burning sensation starting in his stomach and radiating into his chest, usually occurring 4 to 5 times weekly. He says that he usually eats dinner late and then goes to sleep. He often wakes up with a sour taste in his mouth. Following a physical exam, which is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/04/21/3.htm
21 Apr 2020
MKSAP Quiz: 6-month history of loose stools, bloating, weight loss
A 32-year-old woman is evaluated for a 6-month history of loose stools, bloating, and weight loss. Her brother has type 1 diabetes mellitus, and her mother has autoimmune thyroid disease. After physical examination and laboratory studies, what test should be performed next?
https://immattersacp.org/weekly/archives/2020/01/28/3.htm
28 Jan 2020
Rethinking SIBO in the microbiome era
Small intestinal bacterial overgrowth is thought of as very rare, but in an era of booming microbiome research, gastroenterologists and other physicians are starting to become more aware of SIBO in the general population and provide effective treatment
https://immattersacp.org/archives/2019/05/rethinking-sibo-in-the-microbiome-era.htm
1 May 2019
MKSAP Quiz: Ongoing symptoms of dysphagia
A 30-year-old man is evaluated for ongoing symptoms of dysphagia. He was previously diagnosed with eosinophilic esophagitis on upper endoscopy and has completed an 8-week course of swallowed aerosolized fluticasone, which did not alleviate his symptoms. Following a physical exam and upper endoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/10/01/3.htm
1 Oct 2019