Search results for "Oncology"
Better care for patients with disability
Physicians report lacking knowledge about their legal responsibilities under the Americans with Disabilities Act (ADA) and may not be confident about their ability to provide the same quality of care to patients with disability as they do to those without it.
https://immattersacp.org/archives/2022/06/better-care-for-patients-with-disability.htm
1 Jun 2022
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 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
Prioritize cardiac monitoring for high-risk breast cancer patients, study suggests
Cardiac monitoring should be a priority among trastuzumab-treated high-risk patients, patients with comorbidities, and those treated with anthracyclines.
https://immattersacp.org/weekly/archives/2018/08/07/4.htm
7 Aug 2018
Discussion of stopping cancer screening may go best when focused on lack of benefit instead of limited life expectancy
Survey respondents' most preferred phrase was “your other health issues should take priority”; the least preferred choice was “the doctor does not give an explanation.”
https://immattersacp.org/weekly/archives/2018/07/03/4.htm
3 Jul 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
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
LGBTQ care must go beyond guidelines
To make health care more inclusive, physicians can include in the medical record the use of preferred names and pronouns, information on gender-affirming hormones and surgeries, and a record of the organs that patients have and that they were born with.
https://immattersacp.org/archives/2020/09/lgbtq-care-must-go-beyond-guidelines.htm
1 Sep 2020
MKSAP Quiz: Evaluation for headaches and nausea
A 45-year-old woman is evaluated for headaches and nausea that started 2 weeks ago. Her headaches are worse in the morning and have been associated with vomiting. Medical history is significant for metastatic breast cancer diagnosed 4 years ago. Physical and funduscopic exam and an MRI of the brain are done. Based on the findings, what is the most appropriate initial treatment?
https://immattersacp.org/archives/2022/03/mksap-quiz-evaluation-for-headaches-and-nausea.htm
1 Mar 2022