Search results for "Imaging"
MKSAP Quiz: Incidentally discovered adrenal mass
A 62-year-old woman is evaluated for an incidentally discovered left adrenal mass. Two weeks ago, the patient was evaluated in the emergency department for diffuse abdominal pain and vomiting. A CT scan was obtained that was normal except for the adrenal mass. Her medical history is significant for diet-controlled type 2 diabetes mellitus diagnosed 1 year ago and osteoporosis diagnosed 4 years ago. Following a physical exam and lab studies, in addition to screening tests for pheochromocytoma, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/12/12/3.htm
12 Dec 2017
Studies assess responses, reactions to vaccines; long-term effects of COVID-19 infection
Recent COVID-19 vaccine studies showed good response in pregnant women, as well as possible localized rashes from the Moderna vaccine. Analyses of ICU patients and those treated at a post-COVID-19 clinic highlighted the long-term effects of the virus, and a study found that dialysis patients maintained antibodies six months after COVID-19 infection.
https://immattersacp.org/weekly/archives/2021/05/18/1.htm
18 May 2021
Systematic reviews examine Alzheimer's detection, biomarkers, pharmacological treatments
An accompanying editorial noted that while some tools are available to identify, diagnose, and treat cognitive dysfunction from Alzheimer's dementia, they are blunt and lack clinical utility.
https://immattersacp.org/weekly/archives/2020/04/28/2.htm
28 Apr 2020
MKSAP Quiz: 1-week history of chest pressure
A 35-year-old woman is evaluated for a 4-month history of exertional dyspnea and a 1-week history of chest pressure. She has no sputum production, cough, or wheezes. She has never smoked. Following a physical examination, laboratory studies, electrocardiogram, and chest radiograph, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2020/03/17/3.htm
17 Mar 2020
Identify ischemic risks in stroke, TIA patients in latest Curbsiders podcast
Chris Favilla, MD, a stroke neurologist at the University of Pennsylvania, walks listeners through the inner workings of the brain.
https://immattersacp.org/weekly/archives/2019/08/06/6.htm
6 Aug 2019
MKSAP Quiz: 1-year history of increasing dyspnea
A 72-year-old man is evaluated for a 2-year history of cough and a 1-year history of increasing dyspnea. He describes the cough as nonproductive, and his shortness of breath is worse with exertion. He does not have chest pain, orthopnea, paroxysmal nocturnal dyspnea, or any other symptoms. He has a 15-pack-year smoking history but quit 40 years ago. He worked as a construction worker for 40 years. Following a physical exam and chest radiograph, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/05/02/3.htm
2 May 2017
MKSAP quiz: Follow-up for elevated liver chemistry test results
A 28-year-old man is evaluated in follow-up for elevated liver chemistry test results, which were performed to assess a 3-month history of fatigue. He has no history of liver disease and has not had abdominal pain or fever. His medical history is significant for a 3-year history of diarrhea.
https://immattersacp.org/weekly/archives/2017/02/28/3.htm
28 Feb 2017
Off-label hydroxychloroquine no more effective than placebo when added to usual care for osteoarthritis hand pain
Findings do not support the current practice of off-label use of hydroxychloroquine in patients with hand osteoarthritis, but that should not deter research and drug development communities from researching more potent agents or compounds that more specifically target the inflammatory pathways, editorialists said.
https://immattersacp.org/weekly/archives/2018/02/27/2.htm
27 Feb 2018
MKSAP Quiz: Evaluation of an incidentally found aneurysm
A 31-year-old man is evaluated for a 5-mm saccular aneurysm in the anterior communicating artery found incidentally on a magnetic resonance angiogram of the head. Following a physical and neurological examination, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/07/25/3.htm
25 Jul 2023
Why medicine should be a laughing matter
Laughter offers health benefits and can be creatively incorporated into clinical practice.
https://immattersacp.org/archives/2022/05/why-medicine-should-be-a-laughing-matter.htm
1 May 2022