Search results for "Gastroenterology"
MKSAP Quiz: Intermittent rectal bleeding of 3 months' duration
A 46-year-old man is evaluated for intermittent rectal bleeding of 3 months' duration. Colonoscopy finds 12 polyps, and genetic testing reveals biallelic mutations in the MYH gene. What is the most cost-effective approach to determining if the patient's children have inherited MYH-associated polyposis?
https://immattersacp.org/weekly/archives/2018/04/03/3.htm
3 Apr 2018
Be proactive about managing hepatitis B
Reports and other guidance on both hepatitis B virus prevention and treatment all have reprised a common theme: Clearly vulnerable individuals are too often missed.
https://immattersacp.org/archives/2018/04/be-proactive-about-managing-hepatitis-b.htm
1 Apr 2018
Obituaries
ACP recognizes former College officials who have passed.
https://immattersacp.org/archives/2018/03/obituaries.htm
1 Mar 2018
Pinpointing pancreatitis difficult, but key to good outcomes
Several review papers help internists identify patients with pancreatitis who are most likely to progress to severe disease and how to best manage their care.
https://immattersacp.org/archives/2018/02/pinpointing-pancreatitis-difficult-but-key-to-good-outcomes.htm
1 Feb 2018
Problems and potential with probiotics
Probiotics are becoming more prevalent in both consumer and health care settings, but the excitement is tempered by problems, including how to define what is and what isn't one.
https://immattersacp.org/archives/2018/01/problems-and-potential-with-probiotics.htm
1 Jan 2018
MKSAP Quiz: Surveillance ultrasound for hepatocellular carcinoma
A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 months. Following a physical exam and ultrasound that reveals three new liver masses, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/12/19/3.htm
19 Dec 2017
Long-term PPIs after H. pylori triple therapy associated with doubled stomach cancer risk
An observational study drew no firm conclusions about cause and effect, and proton-pump inhibitors are still generally considered safe.
https://immattersacp.org/weekly/archives/2017/11/07/2.htm
7 Nov 2017
MKSAP quiz: Follow-up for hepatitis B
A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection. Following a physical exam, lab studies, and ultrasound, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/09/19/3.htm
19 Sep 2017
Abdominal wall pain as its own diagnosis
Internists can diagnose chronic abdominal wall pain with a simple physical exam and some savvy history taking, experts said, and reassure patients that their condition is not serious and may respond to treatment.
https://immattersacp.org/archives/2017/09/abdominal-wall-pain-as-its-own-diagnosis.htm
1 Sep 2017
HCV treatment by NPs, PCPs appears safe, effective as that provided by subspecialists
Reversing restrictions that limit prescribing of direct-acting antivirals might allow rapid escalation of safe, effective therapy for hepatitis C virus (HCV) infection and could improve the care of patients, study authors noted.
https://immattersacp.org/weekly/archives/2017/08/08/2.htm
8 Aug 2017