Search results for "Gastroenterology"


 
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MKSAP Quiz: 2-month history of a burning sensation

A 45-year-old man is evaluated for a 2-month history of a burning sensation starting in his stomach and radiating into his chest, usually occurring 4 to 5 times weekly. He says that he usually eats dinner late and then goes to sleep. He often wakes up with a sour taste in his mouth. Following a physical exam, which is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/04/21/3.htm
21 Apr 2020

Long-term PPIs after H. pylori triple therapy associated with doubled stomach cancer risk

An observational study drew no firm conclusions about cause and effect, and proton-pump inhibitors are still generally considered safe.
https://immattersacp.org/weekly/archives/2017/11/07/2.htm
7 Nov 2017

Consider the hepatic benefits of coffee

A reader considers drinking coffee and its potential preventive effect for nonalcoholic fatty liver disease.
https://immattersacp.org/archives/2021/07/consider-the-hepatic-benefits-of-coffee.htm
1 Jul 2021

MKSAP Quiz: Intermittent rectal bleeding of 3 months' duration

A 46-year-old man is evaluated for intermittent rectal bleeding of 3 months' duration. Colonoscopy finds 12 polyps, and genetic testing reveals biallelic mutations in the MYH gene. What is the most cost-effective approach to determining if the patient's children have inherited MYH-associated polyposis?
https://immattersacp.org/weekly/archives/2018/04/03/3.htm
3 Apr 2018

MKSAP Quiz: Ongoing symptoms of dysphagia

A 30-year-old man is evaluated for ongoing symptoms of dysphagia. He was previously diagnosed with eosinophilic esophagitis on upper endoscopy and has completed an 8-week course of swallowed aerosolized fluticasone, which did not alleviate his symptoms. Following a physical exam and upper endoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2019/10/01/3.htm
1 Oct 2019

A defense of proton-pump inhibitors

Data on their risks may seem persuasive, but one expert is not convinced.
https://immattersacp.org/archives/2019/01/a-defense-of-proton-pump-inhibitors.htm
1 Jan 2019

Mucosal healing an emerging goal of ulcerative colitis treatment, guideline states

The updated guideline from the American College of Gastroenterology offers recommendations on drug treatment and cancer screening, among other topics.
https://immattersacp.org/weekly/archives/2019/03/05/2.htm
5 Mar 2019

MKSAP Quiz: Surveillance ultrasound for hepatocellular carcinoma

A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 months. Following a physical exam and ultrasound that reveals three new liver masses, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/12/19/3.htm
19 Dec 2017

MKSAP quiz: Follow-up for hepatitis B

A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection. Following a physical exam, lab studies, and ultrasound, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/09/19/3.htm
19 Sep 2017

HCV treatment by NPs, PCPs appears safe, effective as that provided by subspecialists

Reversing restrictions that limit prescribing of direct-acting antivirals might allow rapid escalation of safe, effective therapy for hepatitis C virus (HCV) infection and could improve the care of patients, study authors noted.
https://immattersacp.org/weekly/archives/2017/08/08/2.htm
8 Aug 2017

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