Search results for "Physical exam"
MKSAP Quiz: Follow-up treatment of psoriasis
A 60-year-old woman is evaluated for follow-up treatment of long-standing psoriasis. Medical history is significant for hypertension and hypercholesterolemia. Family history includes multiple family members with psoriasis. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/06/25/3.htm
25 Jun 2019
MKSAP Quiz: Anterior neck pain, fatigue, and exercise intolerance
A 25-year-old woman is evaluated for anterior neck pain, fatigue, exercise intolerance, excessive sweating, and tremors that began 6 weeks ago. Other than an upper respiratory infection two months ago, she has been healthy. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/07/02/3.htm
2 Jul 2019
MKSAP Quiz: Murmur detected during a physical examination
An 18-year-old man is evaluated for a murmur detected during a college sports physical examination. He reports no symptoms and has no history of cardiac disease. He takes no medications. Following a physical exam, what is the most likely cause of this patient's murmur?
https://immattersacp.org/weekly/archives/2019/06/18/3.htm
18 Jun 2019
MKSAP Quiz: 1-year history of weight gain, fatigue, easy bruising
A 48-year-old woman who works the night shift presents with a one-year history of gaining 25 pounds, as well as fatigue, easy bruising, and difficulty remembering things. Medical history is significant for hypertension, type 2 diabetes, and menopausal hot flushes. After medication review and physical exam, what is the most appropriate next step in evaluation?
https://immattersacp.org/weekly/archives/2020/12/15/3.htm
15 Dec 2020
MKSAP Quiz: Cough, rhinorrhea, and wheezing for 3 weeks
A 23-year-old man is evaluated for cough, rhinorrhea, and wheezing of 3 weeks' duration. He has no fevers, chills, or chest pain and no history of asthma or allergies. He is a pastry chef and notes that his symptoms improve on nonworking weekends. Following a physical exam and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2024/01/02/3.htm
2 Jan 2024
MKSAP Quiz: 2-month history of nonproductive cough
A 62-year-old man is evaluated for a 2-month history of nonproductive cough, progressive dyspnea, and fatigue. He reports a 6.8-kg (15-lb) weight loss during this time. He has a 30-pack-year history of smoking. He worked in a navy ship yard 32 years ago. Following a physical exam, chest radiograph, and thoracentesis, what is the most appropriate next step?
https://immattersacp.org/weekly/archives/2020/11/10/3.htm
10 Nov 2020
MKSAP Quiz: Follow-up for urinary incontinence
A 67-year-old man is evaluated in follow-up for urinary incontinence. Six months ago, he began tamsulosin for occasional nocturia, frequency, and urgency related to benign prostatic hyperplasia. Tamsulosin decreased the frequency of nocturia, but he continued to have daytime urinary urgency with a few occasions of urine leakage. Following a physical exam and bladder ultrasonography, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/10/20/3.htm
20 Oct 2020
MKSAP Quiz: Evaluation for generalized hair loss
A 27-year-old woman is evaluated in the office for generalized hair loss. She has not had any similar episodes previously. The patient is 3 months postpartum and does not take any medications. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/09/22/3.htm
22 Sep 2020
MKSAP Quiz: Evaluation of abnormal thyroid laboratory results
A 29-year-old woman is seen in follow-up for evaluation of abnormal thyroid laboratory results. She is currently 26 weeks pregnant. She was originally evaluated 1 week ago for concerns about lack of weight gain during pregnancy, palpitations, anxiety, and insomnia. After a physical exam and considering lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/09/29/3.htm
29 Sep 2020
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