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
Test yourself case study: hepatic mass
ACP Internist has brought back its MKSAP quiz. This popular feature was so heavily requested by our readers that we're restoring it in our print edition and ACP Internist Weekly e-mail updates.
https://immattersacp.org/archives/2008/10/mksap.htm
1 Oct 2008
Response to linaclotide for IBS constipation can still appear after four weeks
An industry-funded analysis of four randomized trials of linaclotide for irritable bowel syndrome (IBS) with constipation found that improvement in abdominal and bowel symptoms occurred after four weeks of treatment in 1 in 6 and 1 in 10 patients, respectively.
https://immattersacp.org/weekly/archives/2022/11/22/4.htm
22 Nov 2022
Guideline suggests prescription medications when lifestyle change ineffective for weight loss
For adults with obesity or overweight with weight-related complications, the American Gastroenterological Association found moderate certainty of benefit for four medications: semaglutide, liraglutide, phentermine-topiramate ER, or naltrexone-bupropion.
https://immattersacp.org/weekly/archives/2022/10/25/1.htm
25 Oct 2022
Obituary
Richard Dale Ruppert, MD, MACP, former president of the American Society of Internal Medicine (ASIM), died on Oct. 22, 2012, at the age of 81.
https://immattersacp.org/archives/2014/05/obituary.htm
1 May 2014
Guidelines update management of eosinophilic esophagitis
Recommendations from the American Gastroenterological Association and the Joint Task Force for Allergy-Immunology Practice Parameters cover use of proton-pump inhibitors, steroids, diets, and endoscopic dilation.
https://immattersacp.org/weekly/archives/2020/05/04/4.htm
4 May 2020
MKSAP Quiz: 1-month history of a skin ulcer
A 24-year-old woman is evaluated for a 1-month history of increasing pain and bleeding from a skin ulcer next to her stoma. The skin symptoms get worse each time she changes her appliance. She underwent proctocolectomy 4 years ago for medically refractory colonic Crohn disease. She has not had small-bowel involvement, and her ostomy output has been stable since surgery. Following a physical exam and skin findings, what is the most likely cause?.
https://immattersacp.org/archives/2015/11/mksap.htm
1 Nov 2015
Consider GERD in patients with pulmonary diseases
Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014
MKSAP Quiz: 4 days of fever and arthralgia
A 43-year-old man is evaluated for 4 days of fever and arthralgia, as well as a raised purple rash over his lower extremities of 1 week's duration. He is a current intravenous drug user. He has no other medical problems and takes no medications. Following a physical exam, lab studies, and skin findings, what is the most appropriate treatment?
https://immattersacp.org/archives/2019/05/mksap-quiz-4-days-of-fever-and-arthralgia.htm
1 May 2019
MKSAP Quiz: Evaluating a 1-year history of loose stools
A 67-year-old woman is evaluated for a 1-year history of loose stools. She reports approximately four episodes per day without abdominal pain. She has not had nausea, vomiting, weight loss, bright red blood per rectum, or melena. After a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/07/14/3.htm
14 Jul 2015