Search results for "Gastroenterology"
PPI's benefits can outweigh their possible risks
The key to proper use of proton-pump inhibitors is monitoring patients closely to determine if they are benefitting from long-term therapy, or could potentially discontinue or reduce their dose.
https://immattersacp.org/archives/2012/10/PPIs.htm
1 Oct 2012
MKSAP Quiz: follow-up visit for hepatitis C screening
A 55-year-old man is evaluated in follow-up after a recent routine screening for antibody to hepatitis C virus (HCV) was positive. His medical history is unremarkable; he has not used illicit drugs or had any history of blood transfusions. He currently feels well and takes no medications. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2016/02/02/3.htm
2 Feb 2016
Textbook edition reflects evolution of hospital medicine
The first update of “Principles and Practice of Hospital Medicine” exemplifies how hospital medicine has evolved and the skills that hospitalists need to have.
https://immattersacp.org/archives/2017/02/textbook.htm
1 Feb 2017
Two key questions guide H. pylori treatment
The best and most cost-effective treatments for H. pylori infection are the ones that work.
https://immattersacp.org/archives/2018/07/two-key-questions-guide-h-pylori-treatment.htm
1 Jul 2018
MKSAP Quiz: severe, persistent, burning pain in an assisted-living patient
An 86-year-old woman is evaluated in her assisted-living facility for pain. Four weeks ago, she developed herpetic lesions on her right posterior thorax in a T7 distribution. She was treated with acyclovir, and the lesions healed; however, she has persistent severe burning pain. The pain is so severe that she is unable to leave her bed to attend meals. Following a physical exam, which medication is the most appropriate pharmacologic therapy for this patient's pain?
https://immattersacp.org/weekly/archives/2016/05/17/3.htm
17 May 2016
So you've discovered a pancreatic cyst …
Internists should follow a stepwise progression of diagnosis and management of pancreatic cysts.
https://immattersacp.org/archives/2019/06/so-youve-discovered-a-pancreatic-cyst.htm
1 Jun 2019
MKSAP Quiz: Joint pain, rash, and weakness
A 61-year-old woman is evaluated for joint pain, a rash on her legs, and weakness. She has chronic genotype 1 hepatitis C viral infection. She takes no medication. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/archives/2019/06/mksap-quiz-joint-pain-rash-and-weakness.htm
1 Jun 2019
MKSAP Quiz: evaluated after a colonoscopy
A 65-year-old man is evaluated after a recent colonoscopy, which disclosed a 2.5-cm pedunculated polyp in the sigmoid colon. The polyp was removed in its entirety in a single piece. Biopsy results showed a well-differentiated adenocarcinoma confined to the submucosa without evidence of lymphovascular involvement and a 1-mm margin. There is no family history of colorectal cancer. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/10/06/3.htm
6 Oct 2015
MKSAP Quiz: follow-up after hospitalization for a large bleeding gastric ulcer
A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Following a physical exam and upper endoscopy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/11/24/3.htm
24 Nov 2015
MKSAP Quiz: 55-year-old man during a routine examination
This week's quiz asks readers to evaluate a man with a family history of hereditary hemochromatosis who drinks six to eight cans of beer per night.
https://immattersacp.org/weekly/archives/2015/08/18/3.htm
18 Aug 2015