Search results for "Physical exam"
Guiding clinicians through GI diagnoses
ACP Internist wraps up highlights of Digestive Disease Week, including dyspepsia, weight loss and incontinence, as well as the latest about the risks of proton-pump inhibitors and antithrombotics.
https://immattersacp.org/archives/2009/09/gastrowrap.htm
1 Sep 2009
Rethinking the value of the annual exam
Patients expect it and internists won't let it go. But does the evidence support the need for the periodic health exam? Experts weigh in on the value of regularly seeing a patient on a preventive basis.
https://immattersacp.org/archives/2010/01/annual.htm
1 Jan 2010
MKSAP Quiz: Dyspnea during walking
A 79-year-old woman is seen for an annual examination. She is in good health except for osteopenia, for which she takes calcium and Vitamin D supplements. She walks regularly to and from the bus stop several times per week. It takes her 25 minutes to get to the bus stop whereas it only took her 10 minutes a year ago. She describes dyspnea midway in her walk, causing her to stop and catch her breath. She denies angina, presyncope, syncope, or pedal edema. Following a physical exam and lab results, what is the most appropriate option for improving this patient's quality of life?.
https://immattersacp.org/archives/2010/03/mksap.htm
1 Mar 2010
Letters to the Editor
Readers respond to the ACP Internist cover story that questioned the value of the annual physical exam. Whether they are for or against the practice, their opinions are strongly held.
https://immattersacp.org/archives/2010/03/letters.htm
1 Mar 2010
Letters to the Editor
Readers respond to the ACP InternistWeekly item about lower pay driving physicians to cut their hours, and to the cover story that questioned the value of the annual physical exam.
https://immattersacp.org/archives/2010/04/letters.htm
1 Apr 2010
MKSAP Quiz: Hypothyroidism
A 70-year-old woman with hypothyroidism fell and fractured her hip. During preoperative evaluation for hip fracture repair, she mentions recent mild fatigue, which has not significantly limited performance of her daily activities, and ongoing right upper-quadrant abdominal pain after eating. Following a physical exam and lab results, what management option is most appropriate?.
https://immattersacp.org/archives/2010/04/mksap.htm
1 Apr 2010
Seeing the whole diagnostic picture
For a year, one patient saw specialist after specialist and received a different diagnosis each time. Like the story of the blind men and the elephant, specialists often see the patient through only one component of training, as anchoring and availability sneak into their thinking.
https://immattersacp.org/archives/2010/04/mindful.htm
1 Apr 2010
Cuba is just across the water, but medically, a different world
ACP Member Paul Drain explored Cuba's medical system and finds primary care broken down much differently than in the U.S., with more access resulting in less of a need for inpatient care. But the politics of re-establishing relations with the country are no less tenuous today than they've previously been.
https://immattersacp.org/archives/2010/09/cuba.htm
1 Sep 2010
When patients don't tell all: The diagnostic challenge
Patients don't always disclose aspects of their history that may be shameful or stigmatizing, posing a challenge of attribution errors for physicians.
https://immattersacp.org/archives/2010/10/mindful.htm
1 Oct 2010
House calls becoming a viable practice model
Think of it as the patient-centered medical home's ultimate evolution##mdash;care inside the patient's own home. More doctors are making house calls, either to patients who don't travel easily, or to improve the quality of care they could deliver in an office.
https://immattersacp.org/archives/2010/10/house.htm
1 Oct 2010