Search results for "Hepatitis"
MKSAP Quiz: 7-year history of plaques
A 50-year-old man is evaluated in the hospital for fatigue, joint pain, and skin lesions. His symptoms started 2 weeks ago with fever and sore throat, which subsided in 2 days. Fatigue and joint pain were noted 1 day after the onset of sore throat, which worsened over the subsequent days. Four days after the onset of symptoms, he noted dark red spots on his ankles and shins, which spread to involve his legs, thighs, and buttocks; the skin lesions were not painful or itchy. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2018/03/mksap-quiz-7-year-history-of-plaques.htm
1 Mar 2018
MKSAP Quiz: 2-month history of edema
A 28-year-old man is evaluated for a 2-month history of progressive lower-extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. He has no other known medical issues and takes no medications. Following a physical exam, lab studies, and kidney analysis, what test is most likely to establish the cause of this patient's focal segmental glomerulosclerosis?
https://immattersacp.org/weekly/archives/2018/02/06/3.htm
6 Feb 2018
MKSAP quiz: Intermittent fever, sweats, fatigue
A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks' duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis were negative. Following a physical exam, lab studies, and chest radiograph, what is the most likely cause of her clinical findings?
https://immattersacp.org/weekly/archives/2018/01/30/3.htm
30 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
ACP, CDC issue best practice advice on HBV
Clinicians should screen for hepatitis B virus (HBV) in patients at high risk, such as those born in countries where the HBV prevalence is 2% or higher, men who have sex with men, patients who require immunosuppressive therapy, or patients with end-stage renal disease.
https://immattersacp.org/weekly/archives/2017/11/21/1.htm
21 Nov 2017
Bariatric surgery device linked to deaths
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/10/bariatric-surgery-device-linked-to-deaths.htm
1 Oct 2017
A good month to raise the rates
There are several important revisions for adult immunizations, including not using the live attenuated influenza vaccine for the 2017-2018 flu season.
https://immattersacp.org/archives/2017/10/a-good-month-to-raise-the-rates.htm
1 Oct 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
MKSAP Quiz: 6-week history of blisters
A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease. The patient does not use tobacco but drinks 6 beers daily. He takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/09/mksap-quiz-6-week-history-of-blisters.htm
1 Sep 2017
Insulin cartridge holders recalled, HCV drug approved
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/09/insulin-cartridge-holders-recalled-hcv-drug-approved.htm
1 Sep 2017