Search results for "Hematology"
To test or not to test for inherited thrombophilias
First consider whether a deep venous thrombosis was provoked or unprovoked, as well as at the type of provoking factors.
https://immattersacp.org/archives/2019/06/to-test-or-not-to-test-for-inherited-thrombophilias.htm
1 Jun 2019
A pre-flight check for patients
People with cardiopulmonary or hematologic disorders can be affected by the hypobaric environment aboard an aircraft, so they should undergo preflight evaluation before lift-off.
https://immattersacp.org/archives/2019/05/a-pre-flight-check-for-patients.htm
1 May 2019
MKSAP quiz: Follow-up for multiple myeloma
A 62-year-old man diagnosed with multiple myeloma 3 weeks ago is found to have multiple lytic lesions in the spine and pelvis on follow-up examination. His vertebral height was maintained. He is receiving bortezomib, lenalidomide, and dexamethasone for myeloma. After physical examination and laboratory studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/04/30/3.htm
30 Apr 2019
MKSAP Quiz: Painful rash occurring bilaterally
A 32-year-old woman is evaluated for a painful rash occurring bilaterally on her lower extremities, which began 2 days ago. She was admitted to the hospital 5 days ago for diagnosis and treatment of pulmonary embolism with heparin and warfarin. Her father had a pulmonary embolism after a long airplane ride. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/02/mksap-quiz-painful-rash-occurring-bilaterally.htm
1 Feb 2019
MKSAP Quiz: Follow-up visit for ovarian cancer
A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/01/29/3.htm
29 Jan 2019
MKSAP Quiz: Decreased exercise tolerance, ice cravings
A 28-year-old woman is evaluated for decreased exercise tolerance and ice cravings for the past several weeks. Medical history is notable for Crohn colitis diagnosed 6 years ago. Her symptoms flared 3 months ago with increased abdominal pain and diarrhea, and she began therapy with azathioprine and infliximab. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2018/11/20/3.htm
20 Nov 2018
MKSAP Quiz: 1-year history of headaches, redness, itching
An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She has hypertension and takes hydrochlorothiazide. Blood pressure is 160/90 mm Hg, BMI is 19, and abdominal examination shows splenomegaly. After laboratory studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/10/02/4.htm
2 Oct 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: 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
Tailoring anticoagulation more of a reality with DOACs
Direct oral anticoagulants have the potential to replace warfarin for the treatment of many patients with venous thromboembolism, but without a need for routine monitoring, good patient selection is key to their use.
https://immattersacp.org/archives/2018/03/tailoring-anticoagulation-more-of-a-reality-with-doacs.htm
1 Mar 2018