Search results for "Gastroenterology"
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
MKSAP Quiz: upper endoscopy for dyspepsia
A 68-year-old woman undergoes upper endoscopy for evaluation of dyspepsia. She has a history of pernicious anemia. She has no other medical problems and her only medication is oral vitamin B12. Upper endoscopy discloses a 6-mm polyp in the body of the stomach, which is removed by polypectomy. Pathologic examination of the polyp confirms a well-differentiated neuroendocrine tumor. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/04/26/3.htm
26 Apr 2016
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
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While the U.S.Preventive Services Task Force doesn’t current-ly prioritize any method, the American Collegeof Gastroenterology guidelines describe acolonoscopy every 10 years beginning at age 50as the “preferred” ... after outpatient colonoscopy and their risk factors in usual clinical practice.Gastroenterology.
https://immattersacp.org/archives/2016/06/acpi-201606-colorectal_t1.pdf
25 May 2016
Colorectal screening methods debated
The prevention successes achieved by colorectal cancer screening have been well documented, but the debate persists regarding to what extent should doctors insist on colonoscopy, rather than allowing patients to select a method that they are more likely to consistently follow.
https://immattersacp.org/archives/2016/06/colorectal.htm
1 Jun 2016
NAFLD treatment starts with weight loss, then other modes
Nonalcoholic fatty liver disease (NAFLD), which accounts for 30% to 40% of chronic liver disease in the U.S. today, is the hepatic manifestation of the metabolic syndrome and is associated with sleep apnea, cardiovascular disease, and diabetes.
https://immattersacp.org/archives/2016/07/NAFLD.htm
1 Jul 2016
MKSAP Quiz: 3-month history of gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following physical and abdominal exams, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/08/09/3.htm
9 Aug 2016
Electroacupuncture may safely relieve chronic severe functional constipation, sham-controlled trial finds
Patients undergoing electroacupuncture experienced a change from baseline in mean complete spontaneous bowel movements per week during the treatment period, and treatment effects were even greater after patients stopped attending the sessions.
https://immattersacp.org/weekly/archives/2016/09/13/2.htm
13 Sep 2016
Managing food poisoning's aftermath in ambulatory care
Internal medicine staff can be the starting point for acute cases of food poisoning, starting the screening process on the telephone and helping determine which patients should be sent right to the ED. But they can also help patients afterward, as they manage potentially long-term complications.
https://immattersacp.org/archives/2016/10/food-poisoning.htm
1 Oct 2016
Millennials, the same doctors in a changed environment
Some older physicians may peg millennials as entitled, self-centered, and lazy, lacking the dogged passion for medicine of generations before them. But those who teach them say that behavioral differences among this group may have more to do with environmental and individual factors than generational ones.
https://immattersacp.org/archives/2016/10/millennials.htm
1 Oct 2016