Search results for "Physical exam"
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
MKSAP Quiz: Chronic intermittent nonbloody diarrhea
A 25-year-old woman is evaluated for chronic intermittent nonbloody diarrhea with associated abdominal cramping, burping, and bloating. Symptoms began several months ago. Following a physical exam and stool testing, what is the most likely cause of this patient's diarrheal illness?
https://immattersacp.org/weekly/archives/2021/05/18/3.htm
18 May 2021
MKSAP Quiz: Persistent dyspepsia despite treatment
A 65-year-old man is evaluated for persistent dyspepsia despite treatment with antacid therapy. He also has recent weight loss of 3 kg (6.6 lb) and development of epigastric abdominal pain. Following a physical exam, biopsy, and CT scan, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2021/05/11/3.htm
11 May 2021
MKSAP Quiz: 6-month history of dyspnea on exertion
A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Following a physical exam, pulmonary function testing, and high-resolution CT, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/11/19/3.htm
19 Nov 2019
MKSAP Quiz: Evaluation for a carotid bruit
A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologic symptoms or visual loss. He has type 2 diabetes mellitus and hyperlipidemia treated with metformin, moderate-intensity pravastatin, and aspirin. Following a physical exam, neurological exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/11/12/3.htm
12 Nov 2019
MKSAP Quiz: Dark spot on lower lip
A 30-year-old woman is evaluated for a dark spot on the lower lip for several months' duration. Medical history is unremarkable, and she takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/03/30/3.htm
30 Mar 2021
MKSAP Quiz: Ongoing symptoms of dysphagia
A 30-year-old man is evaluated for ongoing symptoms of dysphagia. He was previously diagnosed with eosinophilic esophagitis on upper endoscopy and has completed an 8-week course of swallowed aerosolized fluticasone, which did not alleviate his symptoms. Following a physical exam and upper endoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/10/01/3.htm
1 Oct 2019
MKSAP Quiz: Evaluation for a firm, flesh-colored lesion
A 40-year-old man is evaluated for a firm, flesh-colored lesion that has been growing on the back for several months. Foul-smelling material can be expressed from the lesion. Following a physical exam, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2019/09/17/3.htm
17 Sep 2019
MKSAP Quiz: Flushing of the face of 1 year's duration
A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. Following a physical exam, which medications should be discontinued prior to screening for secondary causes of hypertension?
https://immattersacp.org/weekly/archives/2019/09/24/3.htm
24 Sep 2019
MKSAP Quiz: Colorectal cancer screening without colon preparation
A 65-year-old man is interested in initial colorectal cancer screening but adamantly refuses to undergo colon preparation and does not want to modify his diet. Medical and family histories and physical exam results are unremarkable, and he takes no medications. What is the most appropriate screening test?
https://immattersacp.org/weekly/archives/2019/10/08/3.htm
8 Oct 2019