Search results for "Physical exam"
MKSAP Quiz: pleuritic left-sided anterior chest pain
A 63-year-old man is evaluated for pleuritic left-sided anterior chest pain, which has persisted intermittently for 1 week. The pain lasts for hours at a time and is not provoked by exertion or relieved by rest but is worse when supine. He reports transient relief with acetaminophen and codeine and occasionally when leaning forward. He has had a low-grade fever for 3 days, without cough or chills. Medical history is significant for acute pericarditis 7 months ago. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/04/22/3.htm
22 Apr 2014
Portable ultrasound scopes out a new role
Enthusiasts argue that point-of-care ultrasonography extends the scope of the physical exam far beyond what can be auscultated through a stethoscope. Detractors worry about overdiagnosis and a loss of medical skills that have intrinsic value. Both sides seek balance when considering how to use this new technology.
https://immattersacp.org/archives/2014/05/ultrasound.htm
1 May 2014
ACP Internist is online and coming to your mailbox
The latest issue of ACP Internist is online and coming to your mailbox. Top stories include portable ultrasound, medical nonadherence, and cognitive strategies for being a better doctor.
https://immattersacp.org/weekly/archives/2014/05/06/11.htm
6 May 2014
MKSAP Quiz: 6-month history of diarrhea and bloating
A 51-year-old woman is evaluated for a 6-month history of diarrhea and bloating. She reports four to six loose stools per day, with occasional nocturnal stools. She has had a few episodes of incontinence secondary to urgency. She has not had melena or hematochezia but notes an occasional oily appearance to the stool. Following a physical exam and lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/05/13/3.htm
13 May 2014
MKSAP Quiz: 6-month history of nonproductive cough
A 32-year-old woman is evaluated for a 6-month history of nonproductive cough. She has no history of recurrent upper respiratory tract infections and has never smoked cigarettes. She has no fever, dyspnea on exertion, hemoptysis, heartburn, or wheezing. Following a history, physical exam and chest radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2014/05/20/3.htm
20 May 2014
It's all about the history in diagnosing fever of unknown origin
There are 4 types of fever of unknown origin, and distinguishing among them starts with the first step: Look for clues from the history and other presenting symptoms.
https://immattersacp.org/archives/2014/06/fever.htm
1 Jun 2014
Oncologic ‘horrors' can beset hospitalized patients
Common crises that can happen during the management of oncology patients include increased intracranial pressure, metabolic problems, infections, and toxic side effects from drugs. Learn how to manage these conditions.Exercise capacity is the single most power predictor of cardiovascular events, whether or not symptoms are present.
https://immattersacp.org/archives/2014/06/oncology.htm
1 Jun 2014
MKSAP Quiz: new-onset thrombocytopenia during pregnancy
A 35-year-old woman is evaluated for new-onset thrombocytopenia. She is gravida 1 at 36 weeks' gestation. Her pregnancy has been otherwise uncomplicated. She takes only a prenatal vitamin. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/06/03/3.htm
3 Jun 2014
MKSAP Quiz: 2-year history of knee osteoarthritis
A 64-year-old man is evaluated for a 2-year history of knee osteoarthritis. He has bilateral knee pain that worsens with walking. He has tried topical therapies, physical therapy, and acetaminophen, none of which has provided relief. The patient also has peripheral vascular disease, hyperlipidemia, and hypertension. Medications are hydrochlorothiazide, pravastatin, and a daily aspirin. Following a physical exam, lab results, and radiographs of the knees, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2014/06/17/3.htm
17 Jun 2014
MKSAP Quiz: 6-month history of exertional dyspnea
A 49-year-old woman is evaluated for a 6- month history of exertional dyspnea and nonproductive cough that had an insidious onset. She has not noticed any particular triggers for her cough. She has no history of asthma, airway disease, reflux, or aspiration. She has never smoked. She has had no chemical or industrial exposures, has not been in contact with birds, has not been in a hot tub recently, and has not had recent travel. She has no family history of atopy or asthma, and she takes no medications. Lung volumes and spirometry are normal; DLCO is mildly reduced at 75% of predicted. Based on physical exam and chest radiographs, what is the most likely diagnosis?.
https://immattersacp.org/archives/2014/07/mksap.htm
1 Jul 2014