Nonalcoholic fatty liver disease (NAFLD), which accounts for 30% to 40% of chronic liver disease in the U.S. today, is the hepatic manifestation of the metabolic syndrome and is associated with sleep apnea, cardiovascular disease, and diabetes.
Weight loss and nutritional counseling should be the first step, while opioids are always and only a last resort.
Some patients need more than just routine screening for sexually transmitted infections (STIs). Accurate diagnosis and timely treatment can improve quality of life while preventing re-infection.
ACP is once again proactively addressing an issue of importance to human health: climate change.
There is a growing awareness among physicians that the Medicare Access and CHIP Reauthorization Act (MACRA) makes important changes in how Medicare will reimburse them, as well as confusion about what will be different and what they should do to be ready.
Physicians want to know how to tell if their practices might qualify as an Advanced Alternate Payment Model, which will garner extra reimbursement for quality patient care, and whether they might meet the standards of a qualified professional under the Medicare Access and CHIP Reauthorization Act.
This update covers a warning that aripiprazole may be associated with compulsive or uncontrollable urges, as well as approval of the first generic version of rosuvastatin tablets.
ACP conducted a special nomination process and election to fill the vacancy left in the President-elect position by Darilyn V. Moyer, MD, FACP, who will become ACP's Executive Vice President and CEO in September 2016. The Board of Regents and Board of Governors elected Jack Ende, MD, MACP, as the 2016-2017 President-elect.
A 28-year-old man is evaluated for a 3-week history of "stuffiness," decreased hearing, and discomfort in his left ear. He has no other symptoms and otherwise feels well except for mild nasal congestion that he attributes to seasonal allergies. Medical history is unremarkable, and he takes no medications. Following a physical exam and exam of the left ear, what is the most appropriate next step in management?