Search results for "Physical exam"
MKSAP Quiz: INR management
A 61-year-old woman undergoes routine evaluation. She reports no recent changes in her medications. She has a history of idiopathic deep venous thrombosis. Her only medication is warfarin, initiated 2 months ago. Following a physical exam and international normalized ratio (INR) measurement of 7.2, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/07/28/3.htm
28 Jul 2020
MKSAP Quiz: Decreased libido, fatigue
A 32-year-old man is evaluated for decreased libido and fatigue. His symptoms have increased over the last 6 months. Following a physical exam and visual exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/07/07/3.htm
7 Jul 2020
MKSAP Quiz: Evaluation of an elevated serum creatinine level
A 71-year-old man is evaluated in the hospital for an elevated serum creatinine level. He was hospitalized 2 days ago for a 4-day history of progressive right lower leg cellulitis. History is also significant for type 2 diabetes mellitus with prior episodes of cellulitis. Following a physical exam, lab studies, and a kidney biopsy, what is the most likely cause of this patient's kidney disease?
https://immattersacp.org/weekly/archives/2020/08/11/3.htm
11 Aug 2020
MKSAP Quiz: Evaluation for risk of rheumatoid arthritis
A 36-year-old woman is evaluated during a routine wellness visit. She is asymptomatic and has no medical problems. Her mother has rheumatoid arthritis, and the patient is concerned that she might also develop the disease. Following a physical exam, what is most likely to reduce this patient's risk for developing rheumatoid arthritis?
https://immattersacp.org/weekly/archives/2023/05/23/3.htm
23 May 2023
MKSAP Quiz: 10-year history of chronic pain
A 51-year-old woman is referred for evaluation. She has a 10-year history of chronic pain that she describes as head-to-toe aching, twisting, and sometimes burning that involves several large muscle groups. The pain is constant, and she rates the severity as a 6 on a 10-point scale. Following a physical exam, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2020/07/21/4.htm
21 Jul 2020
MKSAP Quiz: Preconception counseling for mitral stenosis
A 26-year-old woman seeks preconception counseling. She has a history of mitral stenosis and underwent mitral valve replacement with a tilting-disc mechanical prosthesis 5 years ago. Following a physical exam, lab studies, and electrocardiogram, what is the most appropriate anticoagulation regimen for this patient during the first trimester?
https://immattersacp.org/weekly/archives/2020/06/23/3.htm
23 Jun 2020
MKSAP Quiz: Evaluation for stiffness and pain
A 43-year-old man is evaluated for knee, hip, shoulder, and arm stiffness, worsening over the past year. He also has pain in the arms, legs, neck, and torso, both on and between the joints. He states that his discomfort is continuous. After a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/06/16/3.htm
16 Jun 2020
MKSAP Quiz: 6 months of exertional dyspnea
A 46-year-old man is evaluated for 6 months of exertional dyspnea, fatigue, and ankle edema. Recently he experienced near-syncope walking up two flights of stairs. He has no other medical problems and takes no medications. Following a physical exam, transthoracic echocardiogram, and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/09/3.htm
9 Jun 2020
MKSAP Quiz: Elevated blood pressure during pregnancy
A 28-year-old woman is evaluated during a follow-up visit for elevated blood pressure measurements during pregnancy. She is at 12 weeks' gestation of her first pregnancy. She feels well, and the pregnancy has been otherwise uncomplicated. Following a physical exam and lab studies, what is the most likely cause of this patient's elevated blood pressure?
https://immattersacp.org/weekly/archives/2020/05/19/3.htm
19 May 2020
MKSAP Quiz: Evaluation for intermittent, bright red blood per rectum
A 51-year-old man is evaluated for intermittent, bright red blood per rectum of 10 weeks' duration. Following a physical exam and other tests and imaging of a nonobstructing lesion at 10 cm from the anal verge, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/05/09/3.htm
9 May 2023