Search results for "Physical exam"
MKSAP Quiz: 1 day of visual problems
A 55-year-old man is evaluated for a 1-day history of seeing flashing lights, “squiggly” lines, and floating objects in his left eye followed by loss of vision at the outer periphery of the eye shortly after having breakfast this morning. He now describes seeing what looks like a curtain coming down in that location. He has myopia requiring prescription glasses. Following a physical exam and an eye exam, what is the most likely diagnosis?.
https://immattersacp.org/archives/2015/01/mksap.htm
1 Jan 2015
Chronic care management at last, and how to code for it
Understand how to bill and code for a final rule that updates payment policies and rates for services furnished under the Medicare Physician Fee Schedule, making it certain that Medicare will pay for chronic care management services.
https://immattersacp.org/archives/2015/01/coding.htm
1 Jan 2015
MKSAP Quiz: preconception evaluation with hypertension
A 25-year-old woman comes for a preconception evaluation. She has a history of hypertension that is well controlled with lisinopril. Medical history is otherwise unremarkable. Following a physical exam, lab studies, and an electrocardiogram, what medication adjustments should be made before this patient proceeds with pregnancy?
https://immattersacp.org/weekly/archives/2015/01/13/3.htm
13 Jan 2015
MKSAP Quiz: 1-week history of discharge
A 25-year-old woman is evaluated for a 1-week history of malodorous vaginal discharge associated with vulvar itching and burning. She is sexually active and has had three partners in the past 6 months. She has no history of sexually transmitted diseases. Following a physical exam and a saline microscopy, what is the most appropriate treatment?.
https://immattersacp.org/archives/2015/02/mksap.htm
1 Feb 2015
Excellent internal medicine takes time
Internists often feel pressured to see patients in less time than patients need, creating dissatisfaction on both sides. The American College of Physicians is advocating for that time, to enhance the quality of each visit and allow for thoroughness and for reflection on the encounter.
https://immattersacp.org/archives/2015/02/presidents.htm
1 Feb 2015
MKSAP Quiz: 1-year history of morning stiffness, aching hands
A 23-year-old woman is evaluated for a 1-year history of morning stiffness and achiness of the hands as well as Raynaud phenomenon. Two months ago, she experienced a sun-induced rash on the chest and back and patches of discoloration on the hands. Following a physical exam and lab studies, what is the most appropriate initial treatment?
https://immattersacp.org/weekly/archives/2015/02/10/3.htm
10 Feb 2015
New guideline released on allergic rhinitis
The American Academy of Otolaryngology-Head and Neck Surgery Foundation released a new clinical guideline last week on allergic rhinitis.
https://immattersacp.org/weekly/archives/2015/02/10/2.htm
10 Feb 2015
MKSAP Quiz: murmur during a physical examination
A 21-year-old male student is evaluated for a murmur heard during an athletic preparticipation physical examination. He is asymptomatic. His medical and family history is unremarkable and he takes no medications. Following a physical exam and transthoracic echocardiogram, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2015/02/24/3.htm
24 Feb 2015
MKSAP Quiz: Progressive fatigue, dyspnea
A 28-year-old previously healthy woman is evaluated in the hospital for a 3-week history of progressive fatigue, dyspnea with exertion, and easy bruisability. Following a physical exam, lab studies, and peripheral blood smear, what is the most appropriate treatment?.
https://immattersacp.org/archives/2015/03/mksap.htm
1 Mar 2015
MKSAP Quiz: persistent rash for 6 years' duration
A 66-year-old man is evaluated for a persistent rash for 6 years' duration. The rash waxes and wanes in severity, and it becomes pruritic only after he becomes hot and sweating, such as when he mows the lawn or exercises. It has always been limited to his back and lower chest. He has never treated it. The patient is otherwise well, has no other medical problems, and takes no medication. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/03/03/3.htm
3 Mar 2015