Posts filtered by tags: American College of Physicians[x]


 

39-year-old woman with fatigue, intermittent rectal bleeding, and abdominal pain

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 39-year-old woman with fatigue, intermittent rectal bleeding, and abdominal pain

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


Improving ACA’s Insurance Coverage Provisions will lead to better care for patients

The American College of Physicians published a paper today in the Annals of Internal Medicine that examines ways to improve the Affordable Care Act.
Tags: Health, American College of Physicians, ACA 's Insurance Coverage Provisions


How medicine rose up to the challenge of the AIDS epidemic

A guest column by the American College of Physicians, exclusive to KevinMD.com. In the run-up to the Academy Awards this year, like many people I made a concerted effort to see most of the top-nominated pictures.  Of particular interest was Bohemian Rhapsody, the biographical film about the lead singer of the rock band Queen, Freddie […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, American College of Physicians, Conditions, PA NP, CRNA, Queen Freddie


MKSAP: 52-year-old woman with shortness of breath

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old woman is evaluated during a follow-up visit. She was discharged from the hospital 3 weeks ago following a small non–ST-elevation myocardial infarction treated with drug-eluting stent placement in the right coronary artery. An echocardiogram obtained during hospitalization showed normal […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA...
Tags: Health, Medications, American College of Physicians, Conditions, Cardiology, Pulmonology, PA NP, CRNA


MKSAP: 60-year-old man with constant low-grade epigastric pain radiating to his back

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man is evaluated for constant low-grade epigastric pain radiating to his back that worsens after he eats fatty foods. He has a 2-year history of chronic pancreatitis. The pain has progressively worsened over the preceding 6 months. His weight […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 79-year-old man with headaches, nausea, visual disturbance, and difficulty speaking

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 79-year-old man is evaluated for a 2-month history of progressively worsening headaches, nausea, visual disturbance, and difficulty speaking. He also has hypertension and gastroesophageal reflux disease. Medications are lisinopril and omeprazole. On physical examination, vital signs are normal. Right oculomotor […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA...
Tags: Health, American College of Physicians, Conditions, PA NP, Oncology/Hematology, CRNA


Physicians need to be better judges of science

A guest column by the American College of Physicians, exclusive to KevinMD.com. The aim of medical education is not only to transfer scientific knowledge, but also impart the wisdom accumulated over the long history of medicine that equips us to apply this knowledge for the betterment of our patients. Although much of medical wisdom transmitted […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Diabetes, Medications, American College of Physicians, Conditions, PA NP, CRNA


MKSAP: 40-year-old man with a new skin rash of 10 days’ duration

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old man is evaluated for a new skin rash of 10 days’ duration. The rash appeared abruptly and is not tender or pruritic. The patient has poorly controlled type 2 diabetes mellitus. His current medications include metformin and glyburide. Family […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Diabetes, Endocrinology, Dermatology, American College of Physicians, Conditions, PA NP, CRNA


MKSAP: 81-year-old woman with headaches, redness of the face, and itching

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 81-year-old woman is evaluated for a 1-year history of headaches, redness of the face, and itching. She indicates being otherwise capable of performing her daily activities on her farm. She reports no shortness of breath, chest pain, or difficulty sleeping. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, PA NP, Oncology/Hematology, CRNA


MKSAP: 75-year-old man with progressive dysphagia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 75-year-old man is evaluated for progressive dysphagia of 8 months’ duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, Oncology/Hematology, CRNA


MKSAP: 60-year-old woman with H. pylori gastritis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old woman is evaluated 1 month after completing a 14-day course of Helicobacter pylori eradication therapy consisting of amoxicillin, clarithromycin, and omeprazole. Initial upper endoscopy before treatment showed patchy gastric erythema with no ulcers or erosions, and biopsies revealed H. pylori gastritis. Currently, she […] Find jobs at Careers by KevinMD.com. Search thousan...
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 32-year-old man with an intermittent pruritic rash

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 32-year-old man is evaluated for an intermittent pruritic rash of 8 years’ duration. Medical history is significant for mild persistent asthma. His only medications are an albuterol inhaler and an inhaled glucocorticoid. On physical examination, vital signs are normal. There […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Dermatology, American College of Physicians, Conditions, PA NP, CRNA


Practice at the top of your license: What does that really mean?

A guest column by the American College of Physicians, exclusive to KevinMD.com. Much has been discussed in recent years around the concept of “practicing at the top of your license.”  But what does this really mean? The most common definition is that each medical professional’s routine activities should utilize the full extent of their education, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, American College of Physicians, Primary Care, Physician, PA NP, Public Health & Policy, CRNA


MKSAP: 66-year-old man with ST-elevation myocardial infarction

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 66-year-old man is evaluated in the hospital following ST-elevation myocardial infarction treated with primary percutaneous coronary intervention of the left anterior descending artery 4 days ago. His initial presentation was complicated by the presence of heart failure and pulmonary edema. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs n...
Tags: Health, American College of Physicians, Conditions, Cardiology, PA NP, CRNA


MKSAP: 65-year-old woman with a cardiac murmur

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 65-year-old woman is evaluated during a routine examination. She was diagnosed with a cardiac murmur in early adulthood. She is active, healthy, and without symptoms. She takes no medications. On physical examination, vital signs are normal. A grade 3/6 holosystolic […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Cardiology, PA NP, CRNA


MKSAP: 56-year-old woman pulmonary hypertension

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old woman is evaluated during an appointment to establish care. She has a developmental delay, and she is known to have pulmonary hypertension due to a congenital cardiac condition. There is no history of cardiac surgery. She is on low-dose […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Cardiology, PA NP, CRNA


American College of Physicians releases new edition of Ethics Manual

The American College of Physicians (ACP) today released the seventh edition of its Ethics Manual. New or significantly expanded sections of the ACP Ethics Manual include precision medicine and genetic testing, research and protection of human subjects, telemedicine, electronic communications, social media and online professionalism, electronic health records, and physician volunteerism.
Tags: ACP, American College of Physicians, American College of Physicians ACP


MKSAP: 55-year-old man with mild nausea and dyspepsia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in the emergency department for a 2-day history of mild nausea and dyspepsia that is worse with fasting and improved with eating. He has also had a 24-hour history of frequent black stools and fatigue. He […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


Reclaiming our mission in medicine

A guest column by the American College of Physicians, exclusive to KevinMD.com. When reading (or writing) blog posts, it’s easy to be left with a mostly negative and often depressing view of the current state of medicine.  This is completely understandable as people usually write on topics and issues about which they feel strongly, and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Primary Care, Physician, PA NP, CRNA


MKSAP: 25-year-old woman with ankylosing spondylitis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain with morning stiffness lasting 20 minutes. She is able to pursue her activities of daily living without any restrictions. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, PA NP, Rheumatology, CRNA


MKSAP: 55-year-old man with severe COPD

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. He completed pulmonary rehabilitation 3 months ago […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Pulmonology, PA NP, CRNA


MKSAP: 60-year-old man with a variable 2-hour postprandial blood glucose

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man variable 2-hour postprandial blood glucose is evaluated during a routine follow-up examination. He has type 2 diabetes mellitus. Review of his blood glucose log demonstrates fasting blood glucose values ranging from 120 to 160 mg/dL (6.7-8.9 mmol/L) and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Diabetes, Endocrinology, American College of Physicians, Conditions, PA NP, CRNA


MKSAP: 82-year-old woman with Alzheimer’s disease

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 82-year-old woman is seen for follow-up evaluation of Alzheimer disease. Since her last visit 12 weeks ago, she has been taking rivastigmine, with a progressively titrated dosage. The patient’s only new symptoms are increasing insomnia, loss of appetite, and occasional […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Neurology, American College of Physicians, Conditions, PA NP, CRNA


MKSAP: 53-year-old woman with hypertension and chronic active hepatitis B infection

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatitis B infection. Her hepatitis B infection has been treated with tenofovir for the past 5 years with suppression of her serum […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, PA NP, Nephrology, CRNA


The power of the tincture of time

A guest column by the American College of Physicians, exclusive to KevinMD.com. I distinctly recall during residency a much older and well-respected clinical teacher periodically opining that what was needed in a particular patient case was “a dose of the tincture of time.” For those less familiar with more historic terminology, a tincture is an […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Primary Care, Physician, PA NP, CRNA


MKSAP: 58-year-old woman with left lower abdominal discomfort

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 58-year-old woman is evaluated in the emergency department for a 2-day history of left lower abdominal discomfort. The pain began insidiously and has gradually progressed. She has felt warm but has not had shaking chills, urinary symptoms such as dysuria […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 82-year-old woman with a 1-week history of urinary incontinence

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever, or back pain. Medical history is significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, American College of Physicians, Primary Care, Conditions, Geriatrics, PA NP, CRNA


Responding to NRA, Doctors Tweet Bloody Photos, Stories of Gun Violence

The pictures on Twitter were an emotional response to a smackdown by the powerful gun industry lobby, which took issue with the American College of Physicians' call late last month for tighter gun control laws.
Tags: News, Nra, American College of Physicians


MKSAP: 42-year-old man with thrombophilia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 42-year-old man arrives for follow-up consultation. Three months ago he developed a proximal right leg deep venous thrombosis following a skiing-related fracture of the right tibia. Although not recommended by guidelines, a thrombophilia evaluation was performed, which revealed an elevated […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs no...
Tags: Health, American College of Physicians, Conditions, PA NP, Oncology/Hematology, CRNA