Search results for "Physical exam"
MKSAP Quiz: Follow-up evaluation for nephrolithiasis
A 61-year-old woman has a follow-up evaluation for the incidental discovery of several hypodense lesions in both lobes of her liver and a 2.5-cm mesenteric mass during CT imaging for nephrolithiasis. She has fully recovered from the nephrolithiasis and now feels entirely well. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/08/10/3.htm
10 Aug 2021
MKSAP Quiz: Intractable pruritus during pregnancy
A 22-year-old woman is evaluated for intractable pruritus that keeps her awake at night. She is in her 25th week of pregnancy. Following a physical exam, lab studies, tests for hepatitis, and an ultrasound, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2021/07/27/3.htm
27 Jul 2021
MKSAP Quiz: Several months of itchy, scaly feet
A 50-year-old man is evaluated for a several-month history of itchy, scaly feet. It has persisted despite the application of a moisturizing lotion. A physical exam reveals erythematous scaly patches on the sides of the feet and maceration between toes. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/07/13/3.htm
13 Jul 2021
Be on alert for blood cancer precursors
Joseph R. Mikhael, MD, FACP, reviewed practical approaches to two premalignant conditions, monoclonal gammopathy of undetermined significance (MGUS) and monoclonal B-cell lymphocytosis (MBL).
https://immattersacp.org/archives/2023/07/be-on-alert-for-blood-cancer-precursors.htm
1 Jul 2023
MKSAP Quiz: 5-year history of knee pain
A 67-year-old man is evaluated for a 5-year history of right knee pain, with morning stiffness lasting 20 minutes. Following a physical exam, what is the most appropriate initial imaging study?
https://immattersacp.org/weekly/archives/2021/06/22/3.htm
22 Jun 2021
MKSAP Quiz: Evaluation for anorexia, dizziness, weakness
A 45-year-old man is evaluated for anorexia, dizziness, and weakness. He was discharged from the hospital 5 days ago after transsphenoidal pituitary surgery for a pituitary macroadenoma abutting the optic chiasm. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/01/14/3.htm
14 Jan 2020
MKSAP Quiz: Evaluation for daytime sleepiness
A 31-year-old woman is evaluated for a 1-year history of daytime sleepiness. She falls asleep while watching TV, at the theater, and occasionally during a meal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/06/15/3.htm
15 Jun 2021
MKSAP quiz: medical history of mitral regurgitation
A 45-year-old man undergoes a pre-employment physical examination. Medical history is notable for aortic coarctation with an end-to-end anastomosis performed at 4 years of age. During a physical exam, a grade 2/6 mid-peaking systolic murmur is noted at the second right intercostal space. What is the most likely cause of this patient's systolic murmur?
https://immattersacp.org/weekly/archives/2021/06/29/3.htm
29 Jun 2021
MKSAP Quiz: 2 weeks of painful lumps on legs
A 23-year-old woman is evaluated for 2 weeks of painful lumps on her legs. The lumps persist for several days and make it difficult for her to go to work as a waitress. She is a college student in Ohio where she has lived her whole life. She has not traveled outside of the state for the last 2 years. Following a physical exam and change in contraception, what test should be done next?
https://immattersacp.org/weekly/archives/2020/01/07/3.htm
7 Jan 2020
MKSAP Quiz: Lower extremity edema and fatigue
A 29-year-old man is hospitalized for lower extremity edema and fatigue that has progressed over the past 6 months. Laboratory studies document kidney failure. Following a physical exam, additional lab studies, and kidney biopsy, results of which tests will most likely explain this patient's findings?
https://immattersacp.org/weekly/archives/2021/05/25/3.htm
25 May 2021