Search results for "Endocrinology"
MKSAP Quiz: treatment of community-acquired pneumonia
A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Following blood cultures, a physical exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/07/08/3.htm
8 Jul 2014
Keep a close eye on the kidneys in diabetes
Screening and adherence to best prescribing practices offer two key ways to prevent or slow the progression of chronic kidney disease in patients with diabetes.
https://immattersacp.org/archives/2020/09/keep-a-close-eye-on-the-kidneys-in-diabetes.htm
1 Sep 2020
MKSAP Quiz: history of amenorrhea and galactorrhea
A 33-year-old woman is evaluated for a 5-month history of amenorrhea and a 3-month history of galactorrhea. She takes no medication. Vital signs and visual field findings are normal. Bilateral galactorrhea is noted. Serum prolactin level is markedly elevated. MRI shows a 1.5-cm sellar mass with suprasellar extension that impinges on the optic chiasm. What is the most appropriate initial treatment?
https://immattersacp.org/weekly/archives/2014/01/28/3.htm
28 Jan 2014
MKSAP Quiz: Routine follow-up of type 2 diabetes
This week's quiz asks readers to evaluate a 45-year-old woman with type 2 diabetes who is seen for routine follow-up.
https://immattersacp.org/weekly/archives/2012/06/26/3.htm
26 Jun 2012
MKSAP Quiz: evaluation during fourth week of pregnancy
A 27-year-old woman is evaluated during the fourth week of an uneventful pregnancy. She has a 3-year history of primary hypothyroidism due to Hashimoto thyroiditis that is treated with levothyroxine, 125 µg/d. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/04/30/3.htm
30 Apr 2013
A silent syndrome with serious side effects
Polycystic ovary syndrome can cause infertility, diabetes and/or metabolic syndrome, and distressing physical symptoms like hirsutism and alopecia. Fortunately, once internists recognize the symptoms the condition can be managed effectively.
https://immattersacp.org/archives/2009/02/pcos.htm
1 Feb 2009
MKSAP Quiz: 3-week history of fatigue, weight loss
A 58-year old woman is evaluated for a 3-week history of fatigue and weight loss. The patient has no significant medical history and takes no prescription medication, but she does take a daily over-the-counter multivitamin and a calcium supplement. She has a 50-pack-year smoking history. Following a physical exam, lab tests and chest radiograph, what is the most likely cause of her hypercalcemia?
https://immattersacp.org/weekly/archives/2013/07/23/3.htm
23 Jul 2013
Experts agree on principles of diabetes care
Learn 10 guiding principles for the care of people with or at risk for diabetes.
https://immattersacp.org/archives/2015/02/diabetesqa.htm
1 Feb 2015
Direct-to-consumer tests can cause headaches
This issue also covers ACP's guidance statements on HbA1c targets, culinary cooking as medicine, and NASA astronaut Serena M. Auñón-Chancellor, MD, FACP, and her journey into space.
https://immattersacp.org/archives/2018/06/direct-to-consumer-tests-can-cause-headaches.htm
1 Jun 2018
MKSAP Quiz: Evaluation for anorexia, dizziness, weakness
A 45-year-old man is evaluated for anorexia, dizziness, and weakness. He was discharged from the hospital 5 days ago after transsphenoidal pituitary surgery for a pituitary macroadenoma abutting the optic chiasm. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2020/01/14/3.htm
14 Jan 2020