Search results for "Gastroenterology"
MKSAP Quiz: follow-up for a recent diagnosis of cirrhosis
A 50-year-old man is evaluated in follow-up for a recent diagnosis of cirrhosis secondary to nonalcoholic steatohepatitis. He has a history of asthma, type 2 diabetes mellitus, hyperlipidemia, and obesity. His current medications are inhaled fluticasone, montelukast, insulin glargine, insulin lispro, simvastatin, and lisinopril. Following a physical exam, lab studies, and upper endoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2014/11/25/3.htm
25 Nov 2014
MKSAP Quiz: gastroesophageal reflux
A 55-year-old man is evaluated for a 6-year history of typical gastroesophageal reflux symptoms treated on an as-needed basis with a proton pump inhibitor. However, the frequency of his reflux symptoms has recently increased and his episodes do not respond to treatment as completely as in the past. An upper endoscopy is scheduled to evaluate the cause of this change in his symptoms. Following biopsy results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/03/17/3.htm
17 Mar 2015
New guideline released on diagnosis, management of pancreatic cysts
The American Gastroenterological Association (AGA) released a new guideline last week on the diagnosis and management of asymptomatic neoplastic pancreatic cysts.
https://immattersacp.org/weekly/archives/2015/03/31/1.htm
31 Mar 2015
MKSAP Quiz: Evaluating a 1-year history of loose stools
A 67-year-old woman is evaluated for a 1-year history of loose stools. She reports approximately four episodes per day without abdominal pain. She has not had nausea, vomiting, weight loss, bright red blood per rectum, or melena. After a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/07/14/3.htm
14 Jul 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
Standard triple therapy may no longer be best for H. pylori eradication treatment
Standard triple treatment may be losing effectiveness in most areas of the world due to increasing resistance to clarithromycin and metronidazole.
https://immattersacp.org/weekly/archives/2015/08/25/2.htm
25 Aug 2015
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
Obituary
ACP recognizes former College officials who have passed.
https://immattersacp.org/archives/2015/11/obituary.htm
1 Nov 2015
MKSAP Quiz: 1-month history of a skin ulcer
A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically refractory colonic Crohn disease. She has not had small-bowel involvement, and her ostomy output has been stable since surgery. Following a physical exam and skin findings, what is the most likely cause?.
https://immattersacp.org/archives/2015/11/mksap.htm
1 Nov 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