Search results for "Hematology/oncology"
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
Obituaries
Richard “Rick” P. Holm, MD, MACP, has died after a long battle against pancreatic cancer, and Eugene P. Libre, MD, MACP, died on Feb. 16, 2020, at age 87.
https://immattersacp.org/archives/2020/04/obituaries.htm
1 Apr 2020
MKSAP Quiz: Counseling regarding contraceptives
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications. Which contraceptive method would be most appropriate for this patient?
https://immattersacp.org/weekly/archives/2018/01/23/3.htm
23 Jan 2018
Telemedicine's time has arrived
As the need for remote health care expands, medical educators and residents continue to refine the best ways to teach and learn telemedicine.
https://immattersacp.org/archives/2022/09/telemedicines-time-has-arrived.htm
1 Sep 2022
MKSAP Quiz: follow-up evaluation for colon cancer
A 58-year-old man undergoes follow-up evaluation for cancer of the ascending colon diagnosed 3 weeks ago. Right hemicolectomy was performed. The pathology report showed a 4-cm primary adenocarcinoma with clear margins at resection, full-thickness penetration through the colonic wall into pericolonic fat, and 4/21 lymph nodes involved (stage III). Examination of the abdomen shows well-healed surgical scars but is otherwise normal. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/07/11/3.htm
11 Jul 2017
Analyzing COVID-19's impact on trainees
In response to a survey on how the pandemic affected clinical education and well-being, trainees reported a disruption in clinical schedule, decreases in didactic conferences and protected time for education, and increases in burnout.
https://immattersacp.org/archives/2023/05/analyzing-covid-19s-impact-on-trainees.htm
1 May 2023
MKSAP quiz: a 2-month history of a painless neck mass
A 44-year-old woman is evaluated for a 2-month history of a painless right neck mass. She is a lifelong nonsmoker. On physical examination, vital signs are normal. A 5-cm right anterior neck mass is palpated. The remainder of the examination is unremarkable. Following a CT and biopsy of a tongue mass found on subsequent testing, what study should be performed next?
https://immattersacp.org/weekly/archives/2017/03/21/3.htm
21 Mar 2017
MKSAP Quiz: Worsening thrombocytopenia
A 35-year-old woman is evaluated for worsening thrombocytopenia; she is pregnant at 36 weeks' gestation. Medical history is significant for immune thrombocytopenic purpura. Previous platelet counts during this pregnancy have been 80,000 to 100,000/##mu;L (80-100 x 109/L). Her only medication is a prenatal vitamin. Following a physical exam and lab results, what is the most appropriate management of this patient's thrombocytopenia?.
https://immattersacp.org/archives/2016/09/mksap.htm
1 Sep 2016
MKSAP Quiz: evaluation for anticoagulation management
A 32-year-old woman is evaluated for anticoagulation management after an uncomplicated vaginal delivery of a healthy newborn. She was diagnosed with a bilateral pulmonary embolism at 25 weeks' gestation and was treated with therapeutic low-molecular-weight heparin (LMWH). The LMWH was discontinued at the onset of labor and was restarted 6 hours after delivery. Medical history is otherwise unremarkable, and her only medication is full-dose LMWH. Anticoagulation for 3 months is planned. The patient wishes to breastfeed her newborn. What is the most appropriate anticoagulation option for this patient?
https://immattersacp.org/weekly/archives/2016/02/23/3.htm
23 Feb 2016
Mindful Medicine: Don't let emotion impede right diagnosis
A case study shows how affective errors can lead to a missed diagnosis, by Jerome Groopman, FACP and Pamela Hartzband, FACP.
https://immattersacp.org/archives/2008/09/mindful.htm
1 Sep 2008