Search results for "Hematology"
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
MKSAP Quiz: Frequently fluctuating INRs
A 77-year-old woman is evaluated for frequently fluctuating INRs (<1.8 to >3.5) while taking warfarin therapy. She has undergone INR testing every 1 to 2 weeks and frequent warfarin dose adjustments. She reports a consistent dietary intake. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/05/01/3.htm
1 May 2018
MKSAP Quiz: History of diffuse headache, fatigue
A 27-year-old woman is evaluated in the emergency department for a 2-day history of diffuse headache, fatigue, and gingival bleeding on brushing her teeth. She is otherwise healthy. She is alert and oriented but reports having a headache. Petechiae that had gone unnoticed by the patient are visible on the lower extremities. What is the most appropriate next step in management?.
https://immattersacp.org/archives/2012/07/mksap.htm
1 Jul 2012
Selecting a sickle cell therapy
An expert reviewed the available drugs for patients with sickle cell disease and offered advice on how to use them.
https://immattersacp.org/archives/2021/06/selecting-a-sickle-cell-therapy.htm
1 Jun 2021
New CBC test, implant for apnea approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/01/new-cbc-test-implant-for-apnea-approved.htm
1 Jan 2018
MKSAP Quiz: 6-month history of increased fatigue and decreased exercise tolerance
A 51-year-old man is evaluated for a 6-month history of increased fatigue and decreased exercise tolerance. He is otherwise well with no significant medical history. Following a physical exam and right hemicolectomy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/08/13/3.htm
13 Aug 2013
MKSAP Quiz: increasing fatigue of 2 months' duration
This week's quiz asks readers to evaluate a 58-year-old man for increasing fatigue of 2 months' duration.
https://immattersacp.org/weekly/archives/2011/08/16/3.htm
16 Aug 2011
HPV vaccine efficacy increases, but use lags
Human papillomavirus immunization rates continue, for several reasons, to lag behind those of other vaccines. Experts are formulating new approaches for physicians and patients to ensure that HPV protection is as robust as possible.
https://immattersacp.org/archives/2016/02/HPV.htm
1 Feb 2016
Managing DOACs in primary care
Primary care physicians play a crucial role in ongoing anticoagulation management, including educating patients about the signs of venous thromboembolism.
https://immattersacp.org/archives/2022/04/managing-doacs-in-primary-care.htm
1 Apr 2022
MKSAP Quiz: Establish care visit for pediatric cancer survivor
A 28-year-old woman is seen to establish care. Medical history is significant for acute lymphoblastic leukemia diagnosed and treated at age 5 years; she has been leukemia free since completion of therapy. Following a physical exam and cervical cancer screening, what is the most appropriate additional survivorship assessment to perform next?
https://immattersacp.org/weekly/archives/2022/02/22/3.htm
22 Feb 2022