Search results for "Hematology"
MKSAP case study: menorrhagia
A MKSAP case study of menorrhagia marks the return of this popular feature to ACP Internist.
https://immattersacp.org/archives/2008/09/mksap.htm
1 Sep 2008
MKSAP Quiz: Follow-up on pre-employment physical exam
A 28-year-old woman has a follow-up consultation for a pre-employment physical examination. She reports feeling well, with no recent illness. Medical history is notable for gastroesophageal reflux disease. Her only medication is omeprazole. She is black. Following a physical exam and lab studies showing decreased neutrophils, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/10/22/3.htm
22 Oct 2019
MKSAP Quiz: evaluation for a self-detected lump under the arm
A 69-year-old woman is evaluated for a lump under her arm found on self-examination. She is otherwise healthy and has no other symptoms. Medical and family histories are unremarkable, and she takes no medications. A needle aspirate of the right axillary mass reveals adenocarcinoma. Bilateral mammography and breast MRI are normal. CT scan of the chest, abdomen, and pelvis demonstrates the enlarged axillary lymph node and no other abnormalities. What is the most appropriate initial treatment?
https://immattersacp.org/weekly/archives/2014/09/16/3.htm
16 Sep 2014
MKSAP Quiz: Evaluation for an elevated globulin fraction
A 67-year-old woman undergoes follow-up evaluation for an elevated globulin fraction of total serum protein level. She has no symptoms. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/07/23/3.htm
23 Jul 2019
MKSAP quiz: Follow-up for multiple myeloma
A 62-year-old man diagnosed with multiple myeloma 3 weeks ago is found to have multiple lytic lesions in the spine and pelvis on follow-up examination. His vertebral height was maintained. He is receiving bortezomib, lenalidomide, and dexamethasone for myeloma. After physical examination and laboratory studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/04/30/3.htm
30 Apr 2019
MKSAP Quiz: follow up of aplastic anemia
A 24-year-old man undergoes follow-up evaluation for treatment of aplastic anemia. Two of his siblings are HLA-identical matches. Review of the bone marrow biopsy done 2 weeks ago confirms the diagnosis of aplastic anemia, demonstrating an aplastic bone marrow with normal cytogenetics. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2012/10/23/3.htm
23 Oct 2012
MKSAP Quiz: Worsening thrombocytopenia
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to 100,000/##mu;L (80-100 x 109/L). Her only medication is a prenatal vitamin. Following a physical exam and lab results, what is the most appropriate management of this patient's thrombocytopenia?.
https://immattersacp.org/archives/2016/09/mksap.htm
1 Sep 2016
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians places in nomination candidates for College governance.
https://immattersacp.org/archives/2021/11/nominees-named-for-college-officer-and-regent-positions.htm
1 Nov 2021
MKSAP Quiz: Counseling regarding contraceptives
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications. Which contraceptive method would be most appropriate for this patient?
https://immattersacp.org/weekly/archives/2018/01/23/3.htm
23 Jan 2018
Patient's doubts about diagnosis prompt a second opinion
A 61-year-old retired military officer presented to a local hospital in the Midwest with flank pain and E. coli bacteremia.
https://immattersacp.org/archives/2008/03/three.htm
1 Mar 2008