Search results for "Physical exam"
MKSAP Quiz: 6-month history of increased fatigue and decreased exercise tolerance
A 51-year-old man is evaluated for a 6-month history of increased fatigue and decreased exercise tolerance. He is otherwise well with no significant medical history. Following a physical exam and right hemicolectomy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/08/13/3.htm
13 Aug 2013
MKSAP Quiz: follow-up visit for nephrolithiasis
A 54-year-old man is evaluated during a follow-up visit for five previous episodes of nephrolithiasis. Two of these stones were composed primarily of uric acid. After his third episode, potassium citrate was initiated. Medical history is notable for type 2 diabetes mellitus, hypertension, and hyperlipidemia. Following a physical exam and lab results, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2013/08/27/3.htm
27 Aug 2013
MKSAP Quiz: 3-month history of hand pain
A 46-year-old woman is evaluated for a 3-month history of pain and swelling of the hands, dyspnea, and wheezing. She has no other pertinent personal or family medical history. She takes naproxen as needed for pain relief. Following a physical exam and laboratory studies, what is the most appropriate diagnostic test to perform next in this patient?.
https://immattersacp.org/archives/2013/09/mksap.htm
1 Sep 2013
CMS considers codes for additional non-face-to-face services
New codes will allow billing for the complicated and far-reaching services that are provided as part of chronic complex care.
https://immattersacp.org/archives/2013/09/coding.htm
1 Sep 2013
MKSAP Quiz: 6-year history of Sjögren syndrome
A 56-year-old woman is evaluated during a follow-up visit for a 6-year history of Sjögren syndrome treated with low-dose hydroxychloroquine and cyclosporine eyedrops. She has had two episodes of cutaneous vasculitis, which resolved with corticosteroids. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/09/24/3.htm
24 Sep 2013
MKSAP Quiz: Emergency visit for chest pain
A 66-year-old man is evaluated in the emergency department for chest pain. He describes a sharp pain in the midchest that does not radiate. The pain began suddenly at rest and has persisted for approximately 40 minutes. He has hypertension treated with amlodipine. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?.
https://immattersacp.org/archives/2013/10/mksap.htm
1 Oct 2013
MKSAP Quiz: Recurrent pruritic rash on the hands
A 32-year-old woman is evaluated for a recurrent pruritic rash on her hands. She works as a dental hygienist and notices that it improves when she goes on vacation. Topical corticosteroids alleviate the rash, but it quickly recurs. Following a physical exam, what test should be done next?
https://immattersacp.org/weekly/archives/2013/10/08/3.htm
8 Oct 2013
MKSAP Quiz: 3-month history of increasing fatigue and weight gain
A 38-year-old woman reports a 3-month history of increasing fatigue and weight gain. She underwent transsphenoidal surgery 4 years ago to remove a nonfunctioning pituitary macroadenoma, followed 4 months later by radiation therapy because of residual tumor. Following a review of medications, physical exam and lab tests, what is the most appropriate next diagnostic test?
https://immattersacp.org/weekly/archives/2013/10/22/3.htm
22 Oct 2013
MKSAP Quiz: 10-day history of malaise, discomfort and progressive jaundice
A 32-year-old woman is evaluated for a 10-day history of malaise, right upper quadrant discomfort, and progressive jaundice. She has had no recent travel outside of the United States, does not drink alcohol, and has no recent ingestions of drugs, including acetaminophen or herbal remedies. Up until this time, she has been healthy. She has a history of type 1 diabetes mellitus for which she takes insulin glargine and insulin detemir. Following a physical exam and lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2013/10/29/3.htm
29 Oct 2013
MKSAP Quiz: Intermittent abdominal discomfort
A 61-year-old woman is evaluated for intermittent abdominal discomfort and a bloating sensation. Approximately 2 months before the swelling started, the patient had a pruritic, gradually progressive rash characterized by redness of the face, and a pruritic rash on her chest, upper back, shoulders, hands, and lateral hips. She has no muscle pain, weakness, or joint pain. Pertinent family history includes breast cancer in her mother and ovarian cancer in her grandmother. Mammogram, Pap test, and colonoscopy, all performed within the last year, were normal. Following a physical exam and lab findings, what is the most appropriate diagnostic study for this patient?.
https://immattersacp.org/archives/2013/11/mksap.htm
1 Nov 2013