Search results for "Oncology"
MKSAP Quiz: Follow-up visit for ovarian cancer
A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/01/29/3.htm
29 Jan 2019
LGBTQ care must go beyond guidelines
To make health care more inclusive, physicians can include in the medical record the use of preferred names and pronouns, information on gender-affirming hormones and surgeries, and a record of the organs that patients have and that they were born with.
https://immattersacp.org/archives/2020/09/lgbtq-care-must-go-beyond-guidelines.htm
1 Sep 2020
MKSAP Quiz: Decreased exercise tolerance, ice cravings
A 28-year-old woman is evaluated for decreased exercise tolerance and ice cravings for the past several weeks. Medical history is notable for Crohn colitis diagnosed 6 years ago. Her symptoms flared 3 months ago with increased abdominal pain and diarrhea, and she began therapy with azathioprine and infliximab. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2018/11/20/3.htm
20 Nov 2018
Personal choices may sway mammography
Primary care physicians who raise the subject of breast cancer screening with their patients may discover that they approach this decision from a different perspective.
https://immattersacp.org/archives/2021/10/personal-choices-may-sway-mammography.htm
1 Oct 2021
MKSAP Quiz: 1-year history of headaches, redness, itching
An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She has hypertension and takes hydrochlorothiazide. Blood pressure is 160/90 mm Hg, BMI is 19, and abdominal examination shows splenomegaly. After laboratory studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/10/02/4.htm
2 Oct 2018
MKSAP Quiz: Severe back pain following a minor fall
A 63-year-old man is evaluated for severe mid-upper back pain following a minor fall 1 day ago. He also notes progressive fatigue of 6 months' duration and a 6.8-kg (15-lb) weight loss. Following a physical exam, cardiopulmonary examination, and radiographs, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/10/03/3.htm
3 Oct 2017
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 intermittent, bright red blood per rectum
A 51-year-old man is evaluated for intermittent, bright red blood per rectum of 10 weeks' duration. Following a physical exam and other tests and imaging of a nonobstructing lesion at 10 cm from the anal verge, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/05/09/3.htm
9 May 2023
MKSAP quiz: a 2-month history of a painless neck mass
A 44-year-old woman is evaluated for a 2-month history of a painless right neck mass. She is a lifelong nonsmoker. On physical examination, vital signs are normal. A 5-cm right anterior neck mass is palpated. The remainder of the examination is unremarkable. Following a CT and biopsy of a tongue mass found on subsequent testing, what study should be performed next?
https://immattersacp.org/weekly/archives/2017/03/21/3.htm
21 Mar 2017
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018