Search results for "Oncology"
MKSAP Quiz: Perioperative evaluation for hip arthroplasty
A 52-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip since sustaining injuries in a motor vehicle accident 15 years ago and is scheduled for elective hip arthroplasty in the next few months. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2020/02/11/3.htm
11 Feb 2020
MKSAP Quiz: follow-up evaluation for colon cancer
A 58-year-old man undergoes follow-up evaluation for cancer of the ascending colon diagnosed 3 weeks ago. Right hemicolectomy was performed. The pathology report showed a 4-cm primary adenocarcinoma with clear margins at resection, full-thickness penetration through the colonic wall into pericolonic fat, and 4/21 lymph nodes involved (stage III). Examination of the abdomen shows well-healed surgical scars but is otherwise normal. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/07/11/3.htm
11 Jul 2017
MKSAP Quiz: 1-year history of headaches, redness, itching
An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She has hypertension and takes hydrochlorothiazide. Blood pressure is 160/90 mm Hg, BMI is 19, and abdominal examination shows splenomegaly. After laboratory studies, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2018/10/02/4.htm
2 Oct 2018
Prioritize cardiac monitoring for high-risk breast cancer patients, study suggests
Cardiac monitoring should be a priority among trastuzumab-treated high-risk patients, patients with comorbidities, and those treated with anthracyclines.
https://immattersacp.org/weekly/archives/2018/08/07/4.htm
7 Aug 2018
Personal choices may sway mammography
Primary care physicians who raise the subject of breast cancer screening with their patients may discover that they approach this decision from a different perspective.
https://immattersacp.org/archives/2021/10/personal-choices-may-sway-mammography.htm
1 Oct 2021
Discussion of stopping cancer screening may go best when focused on lack of benefit instead of limited life expectancy
Survey respondents' most preferred phrase was “your other health issues should take priority”; the least preferred choice was “the doctor does not give an explanation.”
https://immattersacp.org/weekly/archives/2018/07/03/4.htm
3 Jul 2018
MKSAP Quiz: Heaviness, swelling of breast
A 50-year-old woman is evaluated for heaviness and swelling of her right breast of 3 weeks' duration. One week ago, she noticed that her outer breast had a pink appearance. Following a physical and breast exams and complete blood count, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/03/mksap-quiz-heaviness-swelling-of-breast.htm
1 Mar 2023
Telemedicine tips for internists
Ana María López, MD, MPH, MACP, offers advice on telemedicine and COVID-19 and will host a webinar on this topic on Tuesday, April 14, at 3 p.m. EDT.
https://immattersacp.org/weekly/archives/2020/04/14/2.htm
14 Apr 2020
MKSAP Quiz: Follow-up on pre-employment physical exam
A 28-year-old woman has a follow-up consultation for a pre-employment physical examination. She reports feeling well, with no recent illness. Medical history is notable for gastroesophageal reflux disease. Her only medication is omeprazole. She is black. Following a physical exam and lab studies showing decreased neutrophils, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/10/22/3.htm
22 Oct 2019
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