Search results for "Hematology"
MKSAP Quiz: Multiple segmental pulmonary emboli
A 65-year-old man is diagnosed with multiple segmental pulmonary emboli in the right lung. He has no other medical problems, and he takes no medications. He is alert and engaged in shared decision making. After a physical exam and discussion with the patient, what is the appropriate treatment recommendation?
https://immattersacp.org/weekly/archives/2022/05/31/3.htm
31 May 2022
MKSAP Quiz: Evaluation for fatigue of 3 months' duration
A 36-year-old woman is evaluated for fatigue of 3 months' duration and dyspnea on exertion of 1 month's duration. She is 1 month postpartum. She takes no medications. Following a physical examination and lab studies, what is the most appropriate management?
https://immattersacp.org/archives/2023/10/mksap-quiz-evaluation-for-fatigue-of-3-months-duration.htm
1 Oct 2023
MKSAP Quiz: Evaluation for multiple myeloma
A 64-year-old man is evaluated following a recent diagnosis of multiple myeloma. Chemotherapy is planned to begin in 14 days. Which prophylactic therapy is indicated today?
https://immattersacp.org/weekly/archives/2023/12/05/3.htm
5 Dec 2023
Silent epidemic: Alcohol and preventable death, despair
Alcohol use disorder is often linked to poverty, unemployment, social isolation, and other social determinants of health, and medicine must address these underlying factors to genuinely reduce the risks associated with alcohol.
https://immattersacp.org/archives/2023/07/silent-epidemic-alcohol-and-preventable-death-despair.htm
1 Jul 2023
MKSAP Quiz: follow-up evaluation for colon cancer
A 58-year-old man undergoes follow-up evaluation for cancer of the ascending colon diagnosed 3 weeks ago. Right hemicolectomy was performed. The pathology report showed a 4-cm primary adenocarcinoma with clear margins at resection, full-thickness penetration through the colonic wall into pericolonic fat, and 4/21 lymph nodes involved (stage III). Examination of the abdomen shows well-healed surgical scars but is otherwise normal. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/07/11/3.htm
11 Jul 2017
Obituaries
The College notes the passing of James (Jim) Foody III, MD, FACP; Marcus Boyd Shook, MD, MACP; C. Anderson (Andy) Hedberg, MD, MACP; and George Goldsand, MD, MACP.
https://immattersacp.org/archives/2023/02/obits.htm
1 Feb 2023
MKSAP Quiz: Establish care visit for pediatric cancer survivor
A 28-year-old woman is seen to establish care. Medical history is significant for acute lymphoblastic leukemia diagnosed and treated at age 5 years; she has been leukemia free since completion of therapy. Following a physical exam and cervical cancer screening, what is the most appropriate additional survivorship assessment to perform next?
https://immattersacp.org/weekly/archives/2022/02/22/3.htm
22 Feb 2022
The ethical nexus of health care: Purpose over profit
ACP is comprehensively examining the corrosive impact of profit-driven health care on the sacred patient-physician relationship in order to pave the way for potential solutions.
https://immattersacp.org/archives/2024/02/the-ethical-nexus-of-health-care-purpose-over-profit.htm
1 Feb 2024
MKSAP Quiz: Persistent dyspepsia despite treatment
A 65-year-old man is evaluated for persistent dyspepsia despite treatment with antacid therapy. He also has recent weight loss of 3 kg (6.6 lb) and development of epigastric abdominal pain. Following a physical exam, biopsy, and CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/05/11/3.htm
11 May 2021
Be on alert for blood cancer precursors
Joseph R. Mikhael, MD, FACP, reviewed practical approaches to two premalignant conditions, monoclonal gammopathy of undetermined significance (MGUS) and monoclonal B-cell lymphocytosis (MBL).
https://immattersacp.org/archives/2023/07/be-on-alert-for-blood-cancer-precursors.htm
1 Jul 2023