Search results for "Gastroenterology"
Barrett's esophagus: screening guidelines are in flux over reflux
Barrett's esophagus, which is associated with chronic gastroesophageal reflux disease and is sometimes a precursor to cancer.
https://immattersacp.org/archives/2008/04/thirteen.htm
1 Apr 2008
MKSAP Quiz: 8-month history of crampy abdominal pain, loose bowel movements
A 42-year-old woman is evaluated for an 8-month history of crampy abdominal pain and three loose bowel movements per day. The pain is relieved by a bowel movement. There are no nocturnal bowel movements, and there is no blood or dark tarry material in the stool. She has not had fever, night sweats, or weight loss. She has a history of Hashimoto disease and is treated with levothyroxine. Following a physical exam, rectal exam, and lab tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/08/26/3.htm
26 Aug 2014
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2020/02/latest-updates-on-acps-priorities-initiatives.htm
1 Feb 2020
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
MKSAP Quiz: Evaluation for follow-up of abdominal pain
A 35-year-old woman is evaluated for follow-up of abdominal pain, which has prompted multiple emergency department visits. CT scans have revealed intussusception. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/10/mksap-quiz-evaluation-for-follow-up-of-abdominal-pain.htm
1 Oct 2021
Electroacupuncture may safely relieve chronic severe functional constipation, sham-controlled trial finds
Patients undergoing electroacupuncture experienced a change from baseline in mean complete spontaneous bowel movements per week during the treatment period, and treatment effects were even greater after patients stopped attending the sessions.
https://immattersacp.org/weekly/archives/2016/09/13/2.htm
13 Sep 2016
MKSAP Quiz: Gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/11/08/3.htm
8 Nov 2016
Array of symptoms can point to celiac
Celiac incidence has risen since the 1950s to today, so alert internists listen to the symptoms, get to the basis, and make accurate attributions to make the right diagnosis. A constellation of symptoms can point to a common underlying condition.
https://immattersacp.org/archives/2010/04/celiac.htm
1 Apr 2010
Internal medicine: Validating our identity and value
ACP is launching a new campaign to educate about the depth and diversity of internal medicine and highlight the value that all internal medicine physicians bring to health care.
https://immattersacp.org/archives/2022/09/internal-medicine-validating-our-identity-and-value.htm
1 Sep 2022
MKSAP Quiz: 4-year history of ulcerative colitis
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years. What is the most appropriate interval at which to perform colonoscopy with biopsies in this patient?
https://immattersacp.org/weekly/archives/2016/11/22/3.htm
22 Nov 2016