A 26-year-old woman is evaluated for a 4-week history of intermittent bright red blood per rectum and the feeling of incomplete evacuation. She has loose and blood-streaked bowel movements four or five times daily. Following a physical exam, lab studies, and colonoscopy, what is the most appropriate treatment?
14 Nov 2023
ACP Internist provides news and information for internal medicine physicians about the practice of medicine and reports on the policies, products, and activities of ACP.
Eosinophilic esophagitis (EoE) is uncommon but also underdiagnosed: Patients may not seek care for their symptoms, and physicians may not be aware of the condition.
1 Sep 2023
A 70-year-old man is evaluated for a 5-month history of bloating and nonbloody diarrhea. Diarrhea occurs three times daily. Following a physical exam, lab tests, colonoscopy, and abdominal CT, what is the most appropriate management?
13 Jun 2023
A 27-year-old man is evaluated for a pruritic rash on his elbows and knees of 3 years' duration. Celiac disease was diagnosed 7 months ago. He started a gluten-free diet, and the diarrhea resolved but the rash has persisted. Following a physical exam and other tests, what is the most appropriate management?
1 Jul 2023
A 33-year-old woman is evaluated during her annual follow-up visit. She has a 2-year history of left-sided ulcerative colitis. All immunizations are up to date, and depression and anxiety screening results are negative. What is the most appropriate health maintenance screening test to perform?
7 Mar 2023
While nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are dynamic processes that can progress and regress, lifestyle modification, including diet, is a must for all patients, wherever they are in their disease.
1 Apr 2021
This week's quiz asks readers to choose the most appropriate management of a 55-year-old man who was hospitalized two months ago for severe acute pancreatitis and had hypodense pancreatic lesions two weeks ago on contrast-enhanced pancreas-protocol CT.
29 Nov 2022
With routine use of a short screening tool, primary care physicians could more frequently flag emerging alcohol issues.
1 Mar 2023
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
10 May 2022