Search results for "Hematology/oncology"
MKSAP Quiz: 1-month history of headaches and blurred vision
A 65-year-old man is evaluated for a 1-month history of headaches and blurred vision, early satiety, and itching that occurs after showering. He has a 90-pack-year smoking history. Following physical, cardiopulmonary and neurologic examinations, what is the most appropriate next step in diagnosis?
https://immattersacp.org/weekly/archives/2012/12/04/3.htm
4 Dec 2012
MKSAP Quiz: deep venous thrombosis following surgery
A 28-year-old man is evaluated 24 hours after a new diagnosis of a left calf deep venous thrombosis. One week ago, he underwent orthopedic surgery. Two weeks ago, he returned from vacationing in Italy on an 8-hour flight. Current medications are enoxaparin, 80 mg subcutaneously twice daily, and warfarin, 5 mg/d. What is the most appropriate management of this patient's venous thromboembolism?
https://immattersacp.org/weekly/archives/2013/02/05/3.htm
5 Feb 2013
Obituaries
Richard “Rick” P. Holm, MD, MACP, has died after a long battle against pancreatic cancer, and Eugene P. Libre, MD, MACP, died on Feb. 16, 2020, at age 87.
https://immattersacp.org/archives/2020/04/obituaries.htm
1 Apr 2020
Telemedicine's time has arrived
As the need for remote health care expands, medical educators and residents continue to refine the best ways to teach and learn telemedicine.
https://immattersacp.org/archives/2022/09/telemedicines-time-has-arrived.htm
1 Sep 2022
MKSAP Quiz: Frequently fluctuating INRs
A 77-year-old woman is evaluated for frequently fluctuating INRs (<1.8 to >3.5) while taking warfarin therapy. She has undergone INR testing every 1 to 2 weeks and frequent warfarin dose adjustments. She reports a consistent dietary intake. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/05/01/3.htm
1 May 2018
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
MKSAP Quiz: Counseling regarding contraceptives
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications. Which contraceptive method would be most appropriate for this patient?
https://immattersacp.org/weekly/archives/2018/01/23/3.htm
23 Jan 2018
MKSAP Quiz: follow-up consultation for laboratory studies
A 54-year-old man is evaluated during follow-up consultation regarding laboratory studies completed for a life insurance policy. He reports no symptoms. A bone marrow biopsy shows trilineage dysplasia with 1% blasts. Results of cytogenetic testing show loss of the Y chromosome (−Y). What is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/08/23/3.htm
23 Aug 2016
MKSAP Quiz: Worsening thrombocytopenia
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to 100,000/##mu;L (80-100 x 109/L). Her only medication is a prenatal vitamin. Following a physical exam and lab results, what is the most appropriate management of this patient's thrombocytopenia?.
https://immattersacp.org/archives/2016/09/mksap.htm
1 Sep 2016
Updated guidelines suggest caution with chemo-induced anemia
Tdap vaccine recommendations
https://immattersacp.org/weekly/archives/2010/11/02/6.htm
2 Nov 2010