Search results for "Physical exam"
POCUS puts focus on the patient encounter
Point-of-care ultrasound has made its way from a niche practice to everyday use in the clinic. One expert explains an acronym she uses to teach clinicians to do a full POCUS exam.
https://immattersacp.org/archives/2022/06/pocus-puts-focus-on-the-patient-encounter.htm
1 Jun 2022
MKSAP Quiz: Abrupt-onset palpitations
A 42-year-old woman is evaluated in the emergency department for abrupt-onset palpitations. For the past year, she has been having similar episodes with increasing frequency. Following a physical exam and ECG, what is the most likely rhythm diagnosis?
https://immattersacp.org/archives/2022/06/mksap-quiz-abrupt-onset-palpitations.htm
1 Jun 2022
MKSAP Quiz: Periodic fever over the past 3 months
A 43-year-old man is seen in follow-up for fever up to 38.3 °C (101 °F) occurring periodically over the past 3 months. He has no associated symptoms other than fatigue. Following a physical exam, lab studies, and other tests, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/05/07/3.htm
7 May 2019
MKSAP Quiz: 3-year history of fatigue
A 36-year-old woman is evaluated for a 3-year history of fatigue that worsens after activity and does not improve with rest. She also notes intermittent diffuse myalgia and arthralgia, constipation, dizziness, headaches, urinary urgency, memory problems, and paresthesias. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2019/04/23/3.htm
23 Apr 2019
Letter to the Editor
A reader responds about physical exams for PAD.
https://immattersacp.org/archives/2011/05/letter.htm
1 May 2011
MKSAP Quiz: Evaluation for irregular menstrual cycles
A 19-year-old woman is evaluated for irregular menstrual cycles since menarche at 12 years of age, increasing amount of coarse facial hair, and acne. Symptoms have worsened since she stopped playing high school sports and subsequently gained weight. Following a physical exam and lab studies, in addition to exercise and weight loss, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/04/02/3.htm
2 Apr 2019
MKSAP Quiz: Routine visit for HIV
A 44-year-old man is evaluated in the office during a routine visit. Medical history is significant for HIV diagnosed at age 25 years, hypertension, and hyperlipidemia. He is a current smoker. Following a physical exam, cardiac exam, and lab tests, what risk factors will result in underestimation of the risk for atherosclerotic cardiovascular disease in this patient?
https://immattersacp.org/weekly/archives/2019/03/19/3.htm
19 Mar 2019
MKSAP Quiz: 1-month history of malaise, myalgia, weight loss
A 65-year-old man is evaluated for a 1-month history of progressive malaise, myalgia, a 3.6-kg (8.0-lb) weight loss, and numbness and weakness of the right foot; left testicular pain for 1 week; and a painful rash on his legs for 2 days. Following a physical exam, lab studies, and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/03/12/3.htm
12 Mar 2019
MKSAP Quiz: 2-year history of tremor in the dominant right hand
A 41-year-old woman is evaluated for a 2-year history of tremor in the dominant right hand. She says that the tremor has begun interfering with her work as a hairdresser, especially when she uses scissors. She also reports tightness in the forearm. Following a physical exam and MRI, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/02/26/3.htm
26 Feb 2019
MKSAP Quiz: New-onset dependent edema
A 69-year-old woman is evaluated in the emergency department for new-onset dependent edema that began 3 weeks ago. She says it is difficult to walk, and she has gained 4.5 kg (10 lb) of fluid weight. Following a physical exam, lab studies, and kidney biopsy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/02/12/3.htm
12 Feb 2019