Search results for "Hematology"


 
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MKSAP Quiz: Petechial rash of the lower limbs

A 29-year-old woman is evaluated for a petechial rash of the lower extremities of 3 weeks' duration. The patient reports no bleeding problems except for recent, occasional bleeding from her gums after brushing. Physician examination reveals petechiae limited mainly to both lower extremities, with a few spots noted on her forearms and abdomen. What is the most appropriate next step in management?.
https://immattersacp.org/archives/2012/06/mksap.htm
1 Jun 2012

MKSAP Quiz: History of diffuse headache, fatigue

A 27-year-old woman is evaluated in the emergency department for a 2-day history of diffuse headache, fatigue, and gingival bleeding on brushing her teeth. She is otherwise healthy. She is alert and oriented but reports having a headache. Petechiae that had gone unnoticed by the patient are visible on the lower extremities. What is the most appropriate next step in management?.
https://immattersacp.org/archives/2012/07/mksap.htm
1 Jul 2012

MKSAP Quiz: preoperative evaluation prior to a hysterectomy

This week's quiz asks readers to evaluate a 37-year-old woman prior to a hysterectomy for worsening menstrual bleeding.
https://immattersacp.org/weekly/archives/2012/07/17/3.htm
17 Jul 2012

MKSAP Quiz: 1-year history of increasing fatigue

A 77-year-old man has a 1-year history of increasing fatigue. He has not seen a physician for at least 3 years. Medical and family histories are unremarkable, and he takes no medications. The patient appears pale. Based on lab values, a bone marrow aspiration and peripheral blood smear and bone marrow biopsy, what is the most likely diagnosis?.
https://immattersacp.org/archives/2012/10/mksap.htm
1 Oct 2012

The next issue is online and coming to your mailbox

The October issue of ACP Internist is online and coming soon to your mailbox.
https://immattersacp.org/weekly/archives/2012/10/02/8.htm
2 Oct 2012

MKSAP Quiz: Transfer prevented by low food intake, new bruising, gross hematuria

A 70-year-old malnourished man with a 4-year history of Alzheimer dementia is admitted to the intensive care unit from the emergency department for treatment of community-acquired pneumonia and impending respiratory failure. He is inattentive and confused and has a weak productive cough. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2012/10/02/3.htm
2 Oct 2012

MKSAP Quiz: follow up of aplastic anemia

A 24-year-old man undergoes follow-up evaluation for treatment of aplastic anemia. Two of his siblings are HLA-identical matches. Review of the bone marrow biopsy done 2 weeks ago confirms the diagnosis of aplastic anemia, demonstrating an aplastic bone marrow with normal cytogenetics. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2012/10/23/3.htm
23 Oct 2012

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

Obituaries

ACP recognizes the passing of S. William Ross, MD, FACP, Arkansas's first hematologist and also a rheumatologist, oncologist and clinical pathologist, who died on Dec. 3, 2012, at the age of 90, and Carlos Moros Ghersi, MD, MACP, former governor for ACP's Venezuela Chapter, who died on Jan. 9, 2013, at the age of 78.
https://immattersacp.org/archives/2013/02/obits.htm
1 Feb 2013

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

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