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Internists have to sort through the symptoms of gluten sensitivity to confirm a diagnosis. Excluding celiac disease and wheat allergy is essential, as is managing the patient’s expectations and lifestyle.
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Internists can guide preoperative anticoagulation, ensure that patients are in optimal condition for procedures, and—perhaps most importantly—judiciously choose which tests to perform and which ones aren’t needed.
The prospect of universal health insurance coverage was threatened when the Supreme Court carved out exemptions to employer-based health coverage, ACP’s president says in his column about the College’s support of the Affordable Care Act and preventive services without cost sharing.
Clinicians and the organizations in which they practice are moving beyond episode-based health care delivery and into the communities in which they exist, delivering services that would normally seem outside the scope of medical practice.
It is important for internists to understand and plan for how they could meet the proposed service requirements and take advantage of payment for non-face-to-face chronic care management.
Bring in an expert to manage shrinking reimbursement, changing regulations, and rising business costs.
A 58-year-old woman is evaluated for a 3-month history of fatigue and a nonpruritic rash on the chest and arms. The rash worsens with sun exposure. The patient reports no pleurisy, dryness of the eyes or mouth, arthritis, or Raynaud phenomenon. There is no evidence of synovitis. The appearance of the rash is shown. A physical exam and laboratory tests are normal. Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive. What is the most likely diagnosis?
ACP Internist Weekly
From the September 16, 2014 edition
- ACP releases clinical practice guideline on nonsurgical management of UI in women
- Benzodiazepine use associated with increased risk of Alzheimer's disease
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