Search results for "Endocrinology"
MKSAP Quiz: Unable to achieve pregnancy
A 37-year-old woman is unable to achieve pregnancy despite 7 months of unprotected intercourse. Her menstrual cycles are normal, occurring every 28 days with associated breast tenderness and bloating. There have been no prior pregnancies or attempts to achieve pregnancy by either the patient or her male partner. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/04/14/3.htm
14 Apr 2020
MKSAP Quiz: follow-up on an incidental pituitary adenoma
A 64-year-old woman is seen for follow-up evaluation. Two weeks ago, she was in a car accident, and an incidental pituitary adenoma was found on a cervical spine CT scan. She has no residual injuries from the car accident. Following a physical exam and laboratory studies, a pituitary MRI shows a 7-mm adenoma in the anterior sella. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/08/02/3.htm
2 Aug 2016
A silent syndrome with serious side effects
Polycystic ovary syndrome can cause infertility, diabetes and/or metabolic syndrome, and distressing physical symptoms like hirsutism and alopecia. Fortunately, once internists recognize the symptoms the condition can be managed effectively.
https://immattersacp.org/archives/2009/02/pcos.htm
1 Feb 2009
Hunting for causes, cures and small game
D. Lynn Loriaux, MACP, talks about how he transitioned from forestry to husbandry to internal medicine, hiw skills at the trumpet, and searching for cures to endocrine diseases at the Institutes of Health.
https://immattersacp.org/archives/2009/06/profile.htm
1 Jun 2009
MKSAP Quiz: Evaluation for anorexia, dizziness, weakness
A 45-year-old man is evaluated for anorexia, dizziness, and weakness. He was discharged from the hospital 5 days ago after transsphenoidal pituitary surgery for a pituitary macroadenoma abutting the optic chiasm. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/01/14/3.htm
14 Jan 2020
MKSAP Quiz: Routine follow-up of type 2 diabetes
This week's quiz asks readers to evaluate a 45-year-old woman with type 2 diabetes who is seen for routine follow-up.
https://immattersacp.org/weekly/archives/2012/06/26/3.htm
26 Jun 2012
Guidelines define an adjunctive role for weight loss and other prescription medications in obesity management
Knowledgeable prescribing of weight loss medications, and choosing other necessary prescription medications with favorable weight profiles, can aid in the prevention and management of obesity and can be useful for patients who have been unsuccessful with diet and exercise alone, according to a clinical practice guideline.
https://immattersacp.org/weekly/archives/2015/01/27/1.htm
27 Jan 2015
MKSAP Quiz: evaluation during fourth week of pregnancy
A 27-year-old woman is evaluated during the fourth week of an uneventful pregnancy. She has a 3-year history of primary hypothyroidism due to Hashimoto thyroiditis that is treated with levothyroxine, 125 µg/d. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/04/30/3.htm
30 Apr 2013
E-consults can empower, burden physicians
E-consults, which have become more common, increase access to subspecialty expertise but can increase stress on primary care clinicians due to the administrative time and clinical effort that they require.
https://immattersacp.org/archives/2018/10/e-consults-can-empower-burden-physicians.htm
1 Oct 2018
MKSAP Quiz: Flushing of the face of 1 year's duration
A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. Following a physical exam, which medications should be discontinued prior to screening for secondary causes of hypertension?
https://immattersacp.org/weekly/archives/2019/09/24/3.htm
24 Sep 2019