Search results for "Hepatology"
MKSAP Quiz: Evaluation for constipation
A 35-year-old woman is evaluated for constipation. She reports passage of hard stool every 3 to 4 days and associated bloating. Her symptoms have been present for more than 10 years and have progressed gradually. On physical examination, vital signs and other findings are normal. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/01/15/3.htm
15 Jan 2019
MKSAP Quiz: Follow-up of ulcerative colitis
A 38-year-old man is evaluated during a routine examination. He was diagnosed with ulcerative colitis 10 years ago and is currently asymptomatic. His last colonoscopy, performed at the time of diagnosis, showed mildly active extensive colitis extending to the hepatic flexure. Physical and abdominal examinations are normal. What is the most appropriate colonoscopy interval for this patient?
https://immattersacp.org/weekly/archives/2013/01/08/3.htm
8 Jan 2013
MKSAP Quiz: 5-year history of slowly progressive dysphagia
A 25-year-old man is evaluated for a 5-year history of slowly progressive solid-food dysphagia that is accompanied by a sensation of food sticking in his lower retrosternal area. He has compensated by modifying his diet and avoiding fibrous meats. He has not lost weight, and he has not had trouble drinking liquids. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/07/15/3.htm
15 Jul 2014
MKSAP Quiz: persistent heartburn and regurgitation
A 50-year-old man is evaluated for persistent heartburn and regurgitation despite taking a high-dose proton-pump inhibitor twice a day for 6 months. His symptoms have improved, but he continues to have symptoms many times a week. He has not had dysphagia, chest pain or weight loss. He has significantly modified his diet. His only medication is esomeprazole, 40 mg twice a day, which he takes as directed. Endoscopy reveals persistent esophagitis and a moderately large hiatal hernia. His BMI is 34. What is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2014/02/04/3.htm
4 Feb 2014
MKSAP Quiz: Progressive dysphagia for 8 months
A 75-year-old man is evaluated for progressive dysphagia of 8 months' duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms and has lost weight. After physical exam, upper endoscopy, and manometry, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/09/25/3.htm
25 Sep 2018
MKSAP Quiz: 2-month history of diarrhea
A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/07/03/3.htm
3 Jul 2018
MKSAP Quiz: Fatigue, intermittent rectal bleeding, abdominal pain
A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since her symptoms started. She has no personal or family history of colon cancer or other cancers. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/11/13/3.htm
13 Nov 2018
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
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
HCV treatment by NPs, PCPs appears safe, effective as that provided by subspecialists
Reversing restrictions that limit prescribing of direct-acting antivirals might allow rapid escalation of safe, effective therapy for hepatitis C virus (HCV) infection and could improve the care of patients, study authors noted.
https://immattersacp.org/weekly/archives/2017/08/08/2.htm
8 Aug 2017