Search results for "Physical exam"
MKSAP Quiz: Decreased exercise tolerance, ice cravings
A 28-year-old woman is evaluated for decreased exercise tolerance and ice cravings for the past several weeks. Medical history is notable for Crohn colitis diagnosed 6 years ago. Her symptoms flared 3 months ago with increased abdominal pain and diarrhea, and she began therapy with azathioprine and infliximab. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2018/11/20/3.htm
20 Nov 2018
MKSAP Quiz: 2-year history of repetitive movements
An 18-year-old woman is evaluated for a 2-year history of repetitive fast movements of the neck that tilt the head to the right side. She reports that these movements are preceded by a feeling of discomfort in the right shoulder and that if she concentrates and taps the right foot immediately after this sensory cue, she usually can avoid the neck movements. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/06/02/3.htm
2 Jun 2020
MKSAP Quiz: ‘Sun allergy’
A 62-year-old woman is evaluated for a “sun allergy,” manifesting as a rash on her scalp, eyelids, upper back, and knuckles. This started 2 years ago, but is less pronounced over the winter months. Her only medication is hydrocortisone cream. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/11/06/3.htm
6 Nov 2018
MKSAP Quiz: 1-month history of diminished concentration
A 57-year-old woman is hospitalized with a 1-month history of diminished concentration, memory, and judgment, with recent mental status fluctuations and gait disorder. Medical history is remarkable for hypertension. After a physical exam, lab studies, and brain MRI, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/05/12/3.htm
12 May 2020
MKSAP Quiz: Shortness of breath following hospital discharge
A 52-year-old woman is evaluated during a follow-up visit following a small non–ST-elevation myocardial infarction treated with drug-eluting stent. Since discharge, she has had shortness of breath. Following a physical exam and chest radiograph, what is the most likely cause of this patient's dyspnea?
https://immattersacp.org/weekly/archives/2018/10/30/3.htm
30 Oct 2018
MKSAP Quiz: Fatigue, intermittent rectal bleeding, abdominal pain
A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since her symptoms started. She has no personal or family history of colon cancer or other cancers. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/11/13/3.htm
13 Nov 2018
Big changes made to E/M codes in 2021
Beginning in January, physicians billing for Medicare patients no longer have to use a patient's history or physical exam to determine the appropriate level of E/M coding.
https://immattersacp.org/archives/2021/01/big-changes-made-to-e-m-codes-in-2021.htm
1 Jan 2021
Help COPD patients with more probing care
Patients with undiagnosed chronic obstructive pulmonary disease (COPD) can sometimes hide in plain sight.
https://immattersacp.org/archives/2022/09/help-copd-patients-with-more-probing-care.htm
1 Sep 2022
Get hip to hip pain assessment
HIPROT becomes an easy acronym to remember when evaluating hip pain, one expert said at Internal Medicine Meeting 2022.
https://immattersacp.org/archives/2022/07/get-hip-to-hip-pain-assessment.htm
1 Jul 2022
Manage symptoms of menopause
As a clinical diagnosis with several effective treatments, genitourinary syndrome of menopause falls within the internal medicine physician's broad domain.
https://immattersacp.org/archives/2023/07/manage-symptoms-of-menopause.htm
1 Jul 2023