Search results for "Physical exam"
MKSAP Quiz: gradually progressive knee pain
A 52-year-old man is evaluated for a 5-year history of gradually progressive left knee pain. He has 20 minutes of morning stiffness, which returns after prolonged inactivity. He has minimal to no pain at rest. He reports no clicking or locking of the knee. Over the past several months, the pain has limited his ambulation to no more than a few blocks. Following a physical exam and radiograph, what is the most appropriate next diagnostic step?
https://immattersacp.org/weekly/archives/2013/04/23/3.htm
23 Apr 2013
MKSAP Quiz: evaluation during fourth week of pregnancy
A 27-year-old woman is evaluated during the fourth week of an uneventful pregnancy. She has a 3-year history of primary hypothyroidism due to Hashimoto thyroiditis that is treated with levothyroxine, 125 µg/d. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/04/30/3.htm
30 Apr 2013
Early interventions overlooked in OA
Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
https://immattersacp.org/archives/2013/05/osteoarthritis.htm
1 May 2013
Look before leaping into a large health system
Many physicians are leaving private practice and turning to large health systems to give them breathing room to care for their patients and restore work-life balance. But before making the leap, physicians should ensure that the move is the best one.
https://immattersacp.org/archives/2013/05/transitions.htm
1 May 2013
MKSAP Quiz: High BP and oral contraception
A 27-year-old woman is evaluated during a follow-up visit for high blood pressure that manifested 4 months after she began taking an oral contraceptive pill. Despite stopping the oral contraceptive pill, her blood pressure has remained high. Following a physical exam, lab results and a kidney angiogram, what is the most appropriate next step in management?.
https://immattersacp.org/archives/2013/06/mksap.htm
1 Jun 2013
MKSAP Quiz: 3-day history of lower abdominal pain, watery diarrhea
A 26-year-old man is evaluated for a 3-day history of fever, lower abdominal pain, tenesmus, hematochezia, and watery diarrhea. Seven months ago, he underwent a cadaveric kidney transplantation from a transplant donor who was seropositive for cytomegalovirus. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2013/06/11/3.htm
11 Jun 2013
MKSAP Quiz: progressive fatigue and dyspnea on exertion
A 38-year-old woman is evaluated for a 6-month history of progressive fatigue and dyspnea on exertion. Over the past 2 years she has noted episodes of hand swelling, joint pain, blue color change of her fingers with cold exposure, and difficulty swallowing. Following a physical exam and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/07/02/3.htm
2 Jul 2013
MKSAP Quiz: 4-week history of wheals and burning sensation without pruritus
A 27-year-old woman is evaluated for a 4-week history of wheals, characterized by a burning sensation without pruritus. Each individual lesion persists for 48 hours and slowly resolves, leaving a bruise. Current medications are diphenhydramine, hydroxyzine, cetirizine and oral contraceptives. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/07/16/3.htm
16 Jul 2013
MKSAP Quiz: 3-week history of fatigue, weight loss
A 58-year old woman is evaluated for a 3-week history of fatigue and weight loss. The patient has no significant medical history and takes no prescription medication, but she does take a daily over-the-counter multivitamin and a calcium supplement. She has a 50-pack-year smoking history. Following a physical exam, lab tests and chest radiograph, what is the most likely cause of her hypercalcemia?
https://immattersacp.org/weekly/archives/2013/07/23/3.htm
23 Jul 2013
MKSAP Quiz: 3-month history of progressively worsening diarrhea
A 19-year-old woman is evaluated for a 3-month history of progressively worsening diarrhea, abdominal pain, and weight loss. Her brother was diagnosed with Crohn disease at age 16 years. Following a physical exam and colonoscopy, what is the most effective maintenance treatment?
https://immattersacp.org/weekly/archives/2013/07/30/3.htm
30 Jul 2013