Search results for "Hematology"
Nominees named for College Officer and Regent positions
The Governance Committee of the American College of Physicians places in nomination candidates for Officer and Regent positions.
https://immattersacp.org/archives/2016/11/officers.htm
1 Nov 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
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: low back pain of 3 months' duration
A 52-year-old man is evaluated for low back pain of 3 months' duration that is nonradiating, progressive, and worse with ambulation. He reports no preceding injury. Medical history is notable for smoldering multiple myeloma diagnosed 1 year ago; he has been stable since that time. His only medication is as-needed acetaminophen. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/05/24/3.htm
24 May 2016
MKSAP Quiz: evaluation for anticoagulation management
A 32-year-old woman is evaluated for anticoagulation management after an uncomplicated vaginal delivery of a healthy newborn. She was diagnosed with a bilateral pulmonary embolism at 25 weeks' gestation and was treated with therapeutic low-molecular-weight heparin (LMWH). The LMWH was discontinued at the onset of labor and was restarted 6 hours after delivery. Medical history is otherwise unremarkable, and her only medication is full-dose LMWH. Anticoagulation for 3 months is planned. The patient wishes to breastfeed her newborn. What is the most appropriate anticoagulation option for this patient?
https://immattersacp.org/weekly/archives/2016/02/23/3.htm
23 Feb 2016
HPV vaccine efficacy increases, but use lags
Human papillomavirus immunization rates continue, for several reasons, to lag behind those of other vaccines. Experts are formulating new approaches for physicians and patients to ensure that HPV protection is as robust as possible.
https://immattersacp.org/archives/2016/02/HPV.htm
1 Feb 2016
MKSAP Quiz: 7-year history of plaques
A 48-year-old man is evaluated for a 7-year history of spreading plaques associated with dry, itchy skin. He has no other significant medical history and takes no medications. Following a physical exam and chest radiograph, what is the most appropriate management?.
https://immattersacp.org/archives/2016/01/mksap.htm
1 Jan 2016
MKSAP Quiz: 3-year history of dyspnea on exertion
A 68-year-old man is evaluated for a 3-year history of dyspnea on exertion. He experiences no headaches or blurred vision. Medical history is notable for a stroke 2 years ago. He is a smoker with an 80-pack-year smoking history. Medications are hydrochlorothiazide, lisinopril, aspirin, and simvastatin. Following a physical exam, lab studies, and advice to stop smoking, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/12/08/3.htm
8 Dec 2015
MKSAP Quiz: 1-week history of progressive dyspnea and fatigue
A 28-year-old woman is evaluated for a 1-week history of progressive dyspnea and fatigue. She was diagnosed with Hodgkin lymphoma 2 months ago and is receiving chemotherapy with doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD). She takes no other medications. Following a physical exam and lab studies, what is the most appropriate erythrocyte transfusion product for this patient?
https://immattersacp.org/weekly/archives/2015/10/20/3.htm
20 Oct 2015
MKSAP Quiz: Fatigue, abdominal discomfort, and occasional dark urine
A 48-year-old woman is evaluated for fatigue and intermittent abdominal discomfort of 2 months' duration and occasional dark urine. Medical and family histories are unremarkable. Her only medication is an oral contraceptive pill. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/08/25/3.htm
25 Aug 2015