Search results for "Physical exam"
MKSAP Quiz: 10-year history of hot flushes
A 61-year-old woman is evaluated for hot flushes, which have been persistent for the last 10 years. They occur at least 7 times per day, last for approximately 60 seconds, and are associated with severe sweating, palpitations, and occasional nausea. She is awakened several times per night. Following a review of medicines and herbal supplements, taking her medical history, and a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2013/11/05/3.htm
5 Nov 2013
Score may determine when patients should seek treatment for strep throat
A score to diagnose group A streptococcal (GAS) pharyngitis that can be calculated by patients at home could save hundreds of thousands of visits annually by identifying the need for testing or treatment, a study found.
https://immattersacp.org/weekly/archives/2013/11/05/2.htm
5 Nov 2013
MKSAP Quiz: Pregnancy and a previous idiopathic pulmonary embolism
A 35-year-old woman undergoes evaluation after home pregnancy testing indicated that she is pregnant. Her medical history includes a previous idiopathic pulmonary embolism. Her only medication is a daily prenatal vitamin. Following a physical exam, what is the most appropriate venous thromboembolism prophylaxis for this patient?
https://immattersacp.org/weekly/archives/2013/11/12/3.htm
12 Nov 2013
Updated guidelines released for management of HIV in primary care
The HIV Medicine Association of the Infectious Diseases Society of America (IDSA) released updated guidelines last week on management of HIV in primary care.
https://immattersacp.org/weekly/archives/2013/11/19/7.htm
19 Nov 2013
MKSAP Quiz: 2-month history of fatigue, anorexia and weight loss
A 74-year-old woman is evaluated for a 2-month history of fatigue, anorexia, and a 6-kg (13.2-lb) weight loss. She was treated with chemotherapy for ovarian cancer 6 months ago. She also has hypertension managed with hydrochlorothiazide. Following a physical exam and lab results, what is the most likely cause of this patient's hyponatremia?
https://immattersacp.org/weekly/archives/2013/11/26/3.htm
26 Nov 2013
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
MKSAP Quiz: 3-month history of left knee pain
A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. Following a physical exam, lab results and a radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2013/12/17/3.htm
17 Dec 2013
Transparent charts and opening the problem list to patients
Doctors use the patient's medical chart as a notepad of sorts, to record clinical impressions and thinking. But the record's increasingly open nature requires physicians to reconsider how they document the patient's history and what they might be willing to share with the patient.
https://immattersacp.org/archives/2014/01/presidents.htm
1 Jan 2014
MKSAP Quiz: exertional chest pain of 3 months' duration
A 68-year-old man is evaluated for exertional chest pain of 3 months' duration. He describes the chest pain as pressure in the midsternal area with no radiation that occurs with walking one to two blocks and resolves with rest or sublingual nitroglycerin. No symptoms have occurred at rest. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/01/07/3.htm
7 Jan 2014
MKSAP Quiz: 3- to 4-month history of diffuse, intractable itching
A 72-year-old man is evaluated for a 3- to 4-month history of diffuse, intractable itching involving most of the body. He uses emollients regularly. He cannot identify any precipitating causes. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/01/14/3.htm
14 Jan 2014