Search results for "Gastroenterology"
MKSAP Quiz: ED evaluation for acute onset of pain
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes azathioprine. On physical examination, she appears ill. Following aggressive fluid resuscitation, temperature is 38.9° C (102.0° F), blood pressure is 70/40 mm Hg, pulse rate is 148/min, and respiration rate is 35/min. Abdominal examination discloses absent bowel sounds, distention, and diffuse marked tenderness with mild palpation. Following lab studies and the results of a radiograph, what is the most appropriate management?.
https://immattersacp.org/archives/2014/01/mksap.htm
1 Jan 2014
Refusal of treatment can present some tricky ethical dilemmas
This issue includes stories on informed refusal and on managing psoriasis.
https://immattersacp.org/archives/2014/02/editors.htm
1 Feb 2014
MKSAP Quiz: persistent heartburn and regurgitation
A 50-year-old man is evaluated for persistent heartburn and regurgitation despite taking a high-dose proton-pump inhibitor twice a day for 6 months. His symptoms have improved, but he continues to have symptoms many times a week. He has not had dysphagia, chest pain or weight loss. He has significantly modified his diet. His only medication is esomeprazole, 40 mg twice a day, which he takes as directed. Endoscopy reveals persistent esophagitis and a moderately large hiatal hernia. His BMI is 34. What is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2014/02/04/3.htm
4 Feb 2014
Consider GERD in patients with pulmonary diseases
Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014
MKSAP Quiz: 6-month history of dysphagia
A 50-year-old man is evaluated for a 6-month history of dysphagia. He describes a sensation of both solids and liquids sticking in the midesophageal area. This sensation has slowly worsened over time. He also describes intermittent midsternal discomfort that is nonexertional and is usually precipitated by swallowing food. He has lost 4.5 kg (10.0 lb). He has had no history of heartburn or acid regurgitation. Following a physical exam and barium swallow, what is the most appropriate management?.
https://immattersacp.org/archives/2014/03/mksap.htm
1 Mar 2014
Internal Medicine 2014: Orlando sun and Doctor's Dilemma® fun
The College's annual meeting returns to Florida, birthplace of the extremely popular Doctor's Dilemma##reg; competition.
https://immattersacp.org/archives/2014/03/internal-medicine.htm
1 Mar 2014
Internal medicine residency match results virtually unchanged from last year
The number of U.S. senior medical students choosing categorical internal medicine residencies increased slightly for the fifth consecutive year. According to the 2014 National Resident Matching Program, 3,167 U.S. medical school seniors matched for residency training in internal medicine.
https://immattersacp.org/weekly/archives/2014/03/25/1.htm
25 Mar 2014
Obituary
Richard Dale Ruppert, MD, MACP, former president of the American Society of Internal Medicine (ASIM), died on Oct. 22, 2012, at the age of 81.
https://immattersacp.org/archives/2014/05/obituary.htm
1 May 2014
Pathology of nonalcoholic fatty liver disease improves after bariatric surgery
Bariatric surgery improved nonalcoholic fatty liver disease (NAFLD) in obese patients, according to a study presented at Digestive Disease Week.
https://immattersacp.org/weekly/archives/2014/05/06/4.htm
6 May 2014
ACP to host its first national conference in India in September 2014
The College will host its first national conference in New Delhi, India, Sept. 5-6, 2014, at the Le Meridien hotel. The conference focus is “The Burden of Non-Communicable Diseases,” and it will feature both U.S.-based and India-based physicians as faculty speakers.
https://immattersacp.org/weekly/archives/2014/05/06/8.htm
6 May 2014