Search results for "Physical exam"
MKSAP Quiz: treatment of community-acquired pneumonia
A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Following blood cultures, a physical exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/07/08/3.htm
8 Jul 2014
MKSAP Quiz: 5-year history of slowly progressive dysphagia
A 25-year-old man is evaluated for a 5-year history of slowly progressive solid-food dysphagia that is accompanied by a sensation of food sticking in his lower retrosternal area. He has compensated by modifying his diet and avoiding fibrous meats. He has not lost weight, and he has not had trouble drinking liquids. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/07/15/3.htm
15 Jul 2014
MKSAP Quiz: 2-week history of decreased exercise tolerance
A 57-year-old woman is evaluated for a 2-week history of decreased exercise tolerance and substernal chest pain on exertion. She also has an 8-month history of macrocytic anemia. Following a physical exam, lab results, and electrocardiogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/07/22/3.htm
22 Jul 2014
MKSAP Quiz: sore throat, daily fever for 5 days
A 19-year-old man is evaluated for a sore throat, daily fever, frontal headache, myalgia, and arthralgia of 5 days' duration. He also has severe discomfort in the lower spine and a rash on his trunk and extremities. He returned from a 7-day trip to the Caribbean 8 days ago. The remainder of the history is noncontributory. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/07/29/3.htm
29 Jul 2014
MKSAP Quiz: evaluation for health insurance
A 21-year-old man is evaluated during a medical examination for health insurance. The patient is a weight lifter. He has no medical problems and takes no medications or illicit drugs. Following a physical exam, electrocardiogram, and echocardiogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/08/05/3.htm
5 Aug 2014
MKSAP Quiz: 3-month history of intermittent itching
A 59-year-old man is evaluated for a 3-month history of intermittent itching on the forearms. He describes the itch as deep, with a burning or tingling sensation. Scratching helps somewhat, but over-the-counter topical corticosteroids have not helped. Cooling the skin soothes the itch. He did not notice a rash until he started scratching. The itch gets worse after being in the sun, but sun exposure does not cause redness or a rash. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/08/12/3.htm
12 Aug 2014
MKSAP Quiz: 8-month history of crampy abdominal pain, loose bowel movements
A 42-year-old woman is evaluated for an 8-month history of crampy abdominal pain and three loose bowel movements per day. The pain is relieved by a bowel movement. There are no nocturnal bowel movements, and there is no blood or dark tarry material in the stool. She has not had fever, night sweats, or weight loss. She has a history of Hashimoto disease and is treated with levothyroxine. Following a physical exam, rectal exam, and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/08/26/3.htm
26 Aug 2014
MKSAP Quiz: 3-month history of fatigue, rash
A 58-year-old woman is evaluated for a 3-month history of fatigue and a nonpruritic rash on the chest and arms. The rash worsens with sun exposure. The patient reports no pleurisy, dryness of the eyes or mouth, arthritis, or Raynaud phenomenon. There is no evidence of synovitis. The appearance of the rash is shown. A physical exam and laboratory tests are normal. Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive. What is the most likely diagnosis?.
https://immattersacp.org/archives/2014/09/mksap.htm
1 Sep 2014
MKSAP Quiz: 3-day history of productive cough, sore throat
A 32-year-old man is evaluated for a 3-day history of productive cough, sore throat, coryza, rhinorrhea, nasal congestion, generalized myalgia, and fatigue. His sputum is slightly yellow. His two children (ages 3 years and 1 year) had similar symptoms 1 week ago. He is a nonsmoker and has no history of asthma. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2014/09/09/3.htm
9 Sep 2014
Accurate coding of the Initial Preventive Physical Examination
It is important for internists to understand and plan for the Initial Preventive Physical Examination, a one-time visit for new Medicare beneficiaries.
https://immattersacp.org/archives/2014/10/coding.htm
1 Oct 2014