Search results for "Physical exam"
MKSAP Quiz: New-onset dependent edema
A 69-year-old woman is evaluated in the emergency department for new-onset dependent edema that began 3 weeks ago. She says it is difficult to walk, and she has gained 4.5 kg (10 lb) of fluid weight. Following a physical exam, lab studies, and kidney biopsy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/02/12/3.htm
12 Feb 2019
MKSAP Quiz: Ulcerating, painful lesion
A 72-year-old man is evaluated for an ulcerating, painful lesion on his left calf that began as a patch of red skin 2 to 3 weeks ago. He has dialysis-dependent end-stage kidney disease, atrial fibrillation, and hypertension. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/archives/2022/02/mksap-quiz-ulcerating-painful-lesion.htm
1 Feb 2022
Lessons learned from telemedicine
Although many internists may have felt inexperienced with telemedicine before the pandemic, they could well have been doing it all along.
https://immattersacp.org/archives/2020/10/lessons-learned-from-telemedicine.htm
1 Oct 2020
MKSAP Quiz: Follow-up visit for ovarian cancer
A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2019/01/29/3.htm
29 Jan 2019
MKSAP Quiz: 6-month history of fatigue, joint and chest pain, sun sensitivity
A 25-year-old woman is evaluated for a 6-month history of fatigue, joint pain, sun sensitivity, and pleuritic chest pain. Medications are an oral contraceptive pill and as-needed naproxen. Following a physical exam and other lab results, what is the most appropriate test?
https://immattersacp.org/archives/2024/01/mksap-quiz-6-month-history-of-fatigue-joint-and-chest-pain-sun-sensitivity.htm
1 Jan 2024
MKSAP Quiz: 2-month history of worsening dry cough
A 59-year-old man is evaluated for a 2-month history of worsening dry cough. He has no other symptoms. Following a physical exam, CT scan of the chest, and other procedures, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/12/19/3.htm
19 Dec 2023
MKSAP Quiz: Assessment of multiple sclerosis status
A 49-year-old woman is evaluated for a 3-year history of slowly worsening bilateral lower extremity weakness, fatigue, and numbness in the hands and is diagnosed with multiple sclerosis after a physical exam and further testing. What best describes the status of this patient's disease?
https://immattersacp.org/weekly/archives/2023/12/12/3.htm
12 Dec 2023
Manage symptoms of menopause
As a clinical diagnosis with several effective treatments, genitourinary syndrome of menopause falls within the internal medicine physician's broad domain.
https://immattersacp.org/archives/2023/07/manage-symptoms-of-menopause.htm
1 Jul 2023
MKSAP Quiz: Last menstrual period more than 12 months ago
A 48-year-old woman is evaluated during a routine examination. She reports that her last menstrual period was more than 12 months ago. She states she has occasional hot flushes. Following a physical exam and pregnancy test, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/11/28/3.htm
28 Nov 2023
Dyspnea should lead to testing for every patient
An expert discusses why every individual with dyspnea should have pulmonary function tests and every individual with fixed airflow obstruction on pulmonary function tests should be tested for alpha-1 antitrypsin deficiency.
https://immattersacp.org/archives/2023/11/dyspnea-should-lead-to-testing-for-every-patient.htm
1 Nov 2023