Search results for "Gastroenterology"
MKSAP Quiz: Follow-up of ulcerative colitis
A 38-year-old man is evaluated during a routine examination. He was diagnosed with ulcerative colitis 10 years ago and is currently asymptomatic. His last colonoscopy, performed at the time of diagnosis, showed mildly active extensive colitis extending to the hepatic flexure. Physical and abdominal examinations are normal. What is the most appropriate colonoscopy interval for this patient?
https://immattersacp.org/weekly/archives/2013/01/08/3.htm
8 Jan 2013
MKSAP Quiz: 2-year history of chest pain
A 35-year-old man is evaluated for a 2-year history of intermittent chest pain that is retrosternal, lasts for seconds to minutes, is unrelated to exertion, and does not radiate. It is occasionally associated with swallowing. Upper endoscopy is normal and a barium swallow is shown. What is the most likely diagnosis?.
https://immattersacp.org/archives/2013/02/mksap.htm
1 Feb 2013
GERD guidelines establish diagnosis, management options
The American Gastroenterological Society issued guidelines for the diagnosis and management of gastroesophageal reflux disease (GERD).
https://immattersacp.org/weekly/archives/2013/03/12/1.htm
12 Mar 2013
Internal medicine residency match results encouraging
The number of U.S. senior medical students choosing categorical internal medicine residencies increased this year for the fourth consecutive year, according to the 2013 National Resident Matching Program.
https://immattersacp.org/weekly/archives/2013/03/19/1.htm
19 Mar 2013
MKSAP Quiz: Fever and abdominal pain
A 45-year-old man is admitted to the hospital for a 2-day history of fever and abdominal pain. His medical history is notable for cirrhosis due to chronic hepatitis C, esophageal varices, ascites, and minimal hepatic encephalopathy. Abdominal ultrasound discloses cirrhosis, splenomegaly, and ascites. His albumin level is consistent with spontaneous bacterial peritonitis. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2013/05/07/3.htm
7 May 2013
Success in ACOs depends on collaboration
Physicians should consider culture, autonomy and resources before jumping in.
https://immattersacp.org/archives/2013/07/acos.htm
1 Jul 2013
MKSAP Quiz: 3-month history of progressively worsening diarrhea
A 19-year-old woman is evaluated for a 3-month history of progressively worsening diarrhea, abdominal pain, and weight loss. Her brother was diagnosed with Crohn disease at age 16 years. Following a physical exam and colonoscopy, what is the most effective maintenance treatment?
https://immattersacp.org/weekly/archives/2013/07/30/3.htm
30 Jul 2013
MKSAP Quiz: 10-day history of malaise, discomfort and progressive jaundice
A 32-year-old woman is evaluated for a 10-day history of malaise, right upper quadrant discomfort, and progressive jaundice. She has had no recent travel outside of the United States, does not drink alcohol, and has no recent ingestions of drugs, including acetaminophen or herbal remedies. Up until this time, she has been healthy. She has a history of type 1 diabetes mellitus for which she takes insulin glargine and insulin detemir. Following a physical exam and lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2013/10/29/3.htm
29 Oct 2013
Long-term use of acid-suppressive drugs associated with vitamin B12 deficiency
Long-term use of proton-pump inhibitors (PPIs) and histamine-2-receptor antagonists (H2RAs) may be associated with vitamin B12 deficiency, according to a new study.
https://immattersacp.org/weekly/archives/2013/12/17/7.htm
17 Dec 2013
Long-term view for chronic pancreatitis
Unlike acute cases of pancreatitis, chronic cases present with varying degrees and types of pain, and without other clinical indicators such as calcification or damage to pancreatic ducts. It's best to refer to a gastroenterologist early to clarify the diagnosis, so the internist can better manage the patient.
https://immattersacp.org/archives/2014/01/pancreatitis.htm
1 Jan 2014