Search results for "Physical exam"
MKSAP Quiz: Follow-up for elevated serum creatinine level
A 35-year-old man is evaluated during a follow-up visit for an elevated serum creatinine level discovered during a recent hospitalization for cellulitis of the right lower leg. He is a migratory agricultural worker. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/09/21/3.htm
21 Sep 2021
MKSAP Quiz: 10-day history of abdominal cramping, diarrhea
A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He recently returned from a trip to Lima, Peru. Following a physical exam and stool assay, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/02/25/3.htm
25 Feb 2020
MKSAP Quiz: Difficult-to-control hypertension
A 62-year-old man is evaluated during a follow-up visit for difficult-to-control hypertension. He also has chronic kidney disease and hyperlipidemia. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/24/3.htm
24 Aug 2021
MKSAP Quiz: 2-week history of gradually increasing pain
A 75-year-old woman is evaluated for a 2-week history of gradually increasing pain in both shoulders and hips; the pain radiates down both arms to the elbows and down both hamstrings to the knees. She reports no headache, jaw claudication, or vision changes. She was diagnosed with polymyalgia rheumatica 3 months ago. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/03/24/3.htm
24 Mar 2020
MKSAP Quiz: Difficulty holding head upright
A 71-year-old woman is evaluated for difficulty holding her head upright. She notes that her head feels heavy and reports intermittent difficulty with swallowing and speech that is worse in the evening. She has had no pain, sensory changes, weakness in the extremities, or cognitive or visual symptoms. Following a physical exam, lab studies, and other testing, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/03/10/3.htm
10 Mar 2020
Improving celiac disease diagnosis
Celiac disease should be part of the differential diagnosis for several classic clinical presentations, but atypical symptoms, including constipation, can cause doctors to overlook some patients.
https://immattersacp.org/archives/2023/02/improving-celiac-disease-diagnosis.htm
1 Feb 2023
MKSAP Quiz: Follow-up discussion of test results
A 26-year-old woman is seen for follow-up discussion of test results. Three days ago, she was evaluated for a 1-week history of a nonpruritic rash that appears to be resolving since the initial evaluation. The patient reports no recent history of oral or genital ulcers. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/09/14/3.htm
14 Sep 2021
MKSAP Quiz: Establishing care for HIV
A 31-year-old man arrives to establish care for newly diagnosed HIV infection. He is asymptomatic. Medical history is otherwise noncontributory, and he takes no medications. Following a physical exam and review of lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/08/17/3.htm
17 Aug 2021
MKSAP Quiz: Follow-up for back pain 1 week ago
A 26-year-old man is evaluated during a follow-up visit after presenting to an urgent care clinic for back pain 1 week ago. Laboratory studies at that time were significant for a serum creatinine level of 1.4 mg/dL (123.8 µmol/L); other laboratory studies, including urinalysis, were normal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/03/03/3.htm
3 Mar 2020
MKSAP Quiz: Perioperative evaluation for hip arthroplasty
A 52-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip since sustaining injuries in a motor vehicle accident 15 years ago and is scheduled for elective hip arthroplasty in the next few months. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2020/02/11/3.htm
11 Feb 2020