Search results for "Gastroenterology"
MKSAP Quiz: 3-month history of gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following physical and abdominal exams, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/08/09/3.htm
9 Aug 2016
Abdominal wall pain as its own diagnosis
Internists can diagnose chronic abdominal wall pain with a simple physical exam and some savvy history taking, experts said, and reassure patients that their condition is not serious and may respond to treatment.
https://immattersacp.org/archives/2017/09/abdominal-wall-pain-as-its-own-diagnosis.htm
1 Sep 2017
ACG president seeks bigger role for women in health care
Amy E. Foxx-Orenstein, FACP.
https://immattersacp.org/archives/2008/05/seventeen.htm
1 May 2008
NAFLD treatment starts with weight loss, then other modes
Nonalcoholic fatty liver disease (NAFLD), which accounts for 30% to 40% of chronic liver disease in the U.S. today, is the hepatic manifestation of the metabolic syndrome and is associated with sleep apnea, cardiovascular disease, and diabetes.
https://immattersacp.org/archives/2016/07/NAFLD.htm
1 Jul 2016
MKSAP Quiz: upper endoscopy for dyspepsia
A 68-year-old woman undergoes upper endoscopy for evaluation of dyspepsia. She has a history of pernicious anemia. She has no other medical problems and her only medication is oral vitamin B12. Upper endoscopy discloses a 6-mm polyp in the body of the stomach, which is removed by polypectomy. Pathologic examination of the polyp confirms a well-differentiated neuroendocrine tumor. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/04/26/3.htm
26 Apr 2016
PPI's benefits can outweigh their possible risks
The key to proper use of proton-pump inhibitors is monitoring patients closely to determine if they are benefitting from long-term therapy, or could potentially discontinue or reduce their dose.
https://immattersacp.org/archives/2012/10/PPIs.htm
1 Oct 2012
MKSAP Quiz: follow-up visit for hepatitis C screening
A 55-year-old man is evaluated in follow-up after a recent routine screening for antibody to hepatitis C virus (HCV) was positive. His medical history is unremarkable; he has not used illicit drugs or had any history of blood transfusions. He currently feels well and takes no medications. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2016/02/02/3.htm
2 Feb 2016
Two key questions guide H. pylori treatment
The best and most cost-effective treatments for H. pylori infection are the ones that work.
https://immattersacp.org/archives/2018/07/two-key-questions-guide-h-pylori-treatment.htm
1 Jul 2018
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
MKSAP Quiz: severe, persistent, burning pain in an assisted-living patient
An 86-year-old woman is evaluated in her assisted-living facility for pain. Four weeks ago, she developed herpetic lesions on her right posterior thorax in a T7 distribution. She was treated with acyclovir, and the lesions healed; however, she has persistent severe burning pain. The pain is so severe that she is unable to leave her bed to attend meals. Following a physical exam, which medication is the most appropriate pharmacologic therapy for this patient's pain?
https://immattersacp.org/weekly/archives/2016/05/17/3.htm
17 May 2016