Search results for "Gastroenterology"
MKSAP Quiz: 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 a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/11/08/3.htm
8 Nov 2016
Internal medicine: Validating our identity and value
ACP is launching a new campaign to educate about the depth and diversity of internal medicine and highlight the value that all internal medicine physicians bring to health care.
https://immattersacp.org/archives/2022/09/internal-medicine-validating-our-identity-and-value.htm
1 Sep 2022
Array of symptoms can point to celiac
Celiac incidence has risen since the 1950s to today, so alert internists listen to the symptoms, get to the basis, and make accurate attributions to make the right diagnosis. A constellation of symptoms can point to a common underlying condition.
https://immattersacp.org/archives/2010/04/celiac.htm
1 Apr 2010
MKSAP Quiz: 4-year history of ulcerative colitis
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. What is the most appropriate interval at which to perform colonoscopy with biopsies in this patient?
https://immattersacp.org/weekly/archives/2016/11/22/3.htm
22 Nov 2016
MKSAP Quiz: 4-year history of ulcerative colitis
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. What is the most appropriate interval at which to perform colonoscopy with biopsies in this patient?
https://immattersacp.org/weekly/archives/2016/11/15/3.htm
15 Nov 2016
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
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
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