Search results for "Oncology"
MKSAP Quiz: Increasing fatigue for 8 months
A 62-year-old man undergoes a routine examination. He notes increasing fatigue of 8 months' duration but states he can perform his usual daily activities. He has no fever, night sweats, anorexia, or weight loss. The medical history is noncontributory, and he takes no medications. On physical examination, vital signs are normal. The spleen is palpable three finger breadths below the left midcostal margin. There is no lymphadenopathy or hepatomegaly. Following lab studies and a peripheral blood smear, what is the most appropriate management of the patient now?.
https://immattersacp.org/archives/2014/05/mksap.htm
1 May 2014
MKSAP Quiz: Transfer prevented by low food intake, new bruising, gross hematuria
A 70-year-old malnourished man with a 4-year history of Alzheimer dementia is admitted to the intensive care unit from the emergency department for treatment of community-acquired pneumonia and impending respiratory failure. He is inattentive and confused and has a weak productive cough. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2012/10/02/3.htm
2 Oct 2012
MKSAP Quiz: Fatigue, malaise, fever, and epistaxis
A 30-year-old woman is evaluated in the emergency department of a community hospital for a 2-week history of fatigue, malaise, low-grade fever, and intermittent epistaxis. Her husband states that she has been forgetful and occasionally confused during this period. Physical examination reveals bruises over the upper and lower extremities and palatal petechiae. Laboratory studies indicate a hemoglobin of 7.2 g/dL (72 g/L), leukocyte count of 9600/##mu;L (9.6 ##times; 109/L), platelet count of 12,000/##mu;L (12 ##times; 109/L), and serum lactate dehydrogenase concentration of 1700 U/L. The peripheral blood smear is shown. Plasma exchange is unavailable. What is the most appropriate next step in management?.
https://immattersacp.org/archives/2010/02/mksap.htm
1 Feb 2010
Risks seen with anemia, asthma drugs; insulin syringes recalled
Warnings, recalls and updates from the Food and Drug Administration.
https://immattersacp.org/archives/2010/04/fda.htm
1 Apr 2010
What's new in ACP Hospitalist
What's new in ACP Hospitalist and other College publications, including a review of the impact of ICU glucose control for critically ill patients and the highly anticipated launch of MKSAP 15.
https://immattersacp.org/archives/2009/07/highlights.htm
1 Jul 2009
Daily aspirin may reduce cancer incidence, prevent metastases
Three related studies bolster the case for daily aspirin for cancer prevention, indicating that it may have a preventive effect after three years, as well as reduce future metastases, while having little impact on increased bleeding risk in the long term.
https://immattersacp.org/weekly/archives/2012/03/27/2.htm
27 Mar 2012
Taking the leap forward to precision medicine
Genomic targeted therapies may finally deliver the full promise of knowing the family medical history or considering environmental factors during a clinical examination.
https://immattersacp.org/archives/2015/09/precision-medicine.htm
1 Sep 2015
Communication skills vital to cancer conversations
Cancer patients want information, but not in a way that makes them lose hope. Effective shared decision making and risk communication strategies can help.
https://immattersacp.org/archives/2013/09/communication.htm
1 Sep 2013
A doctor seeks ways to encourage earlier palliative care talks
Palliative care doctors are working on introducing the concept of palliative care across disciplines, with a particular focus on primary care. The goal is to introduce it earlier in the process of patient care, and earlier in the educational process of the physicians themselves.
https://immattersacp.org/archives/2014/10/palliative.htm
1 Oct 2014
Mindful medicine: Perils of diagnosing the physician-patient
A physician diagnoses himself, leaving a colleague to undo some of the mistaken thinking and come up with a simple diagnosis.
https://immattersacp.org/archives/2009/01/mindful.htm
1 Jan 2009