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Recalls target cold products, digoxin, defibrillators, diet aids

A summary of approvals, recalls, warnings and alerts.
https://immattersacp.org/archives/2009/06/fda.htm
1 Jun 2009

MKSAP Quiz: Assessment of exertional dyspnea

A 70-year-old man with a history of a systolic murmur presents for further assessment of exertional dyspnea. He has had dyspnea his entire life, but has noted a recent deterioration in his exercise capacity. What is the most likely diagnosis?.
https://immattersacp.org/archives/2010/10/mksap.htm
1 Oct 2010

MKSAP Quiz: Transfer prevented by low food intake, new bruising, gross hematuria

A 70-year-old malnourished man with a 4-year history of Alzheimer dementia is admitted to the intensive care unit from the emergency department for treatment of community-acquired pneumonia and impending respiratory failure. He is inattentive and confused and has a weak productive cough. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2012/10/02/3.htm
2 Oct 2012

New pneumonia vaccine option for patients over 50

Recalls, warnings, approvals and other regulatory news.
https://immattersacp.org/archives/2012/03/fda.htm
1 Mar 2012

Searching for signs of eating disorders

Internists are often the first clinicians to see signs of an eating disorder, with the rapid or extreme changes in weight apparent both in person and from the history recorded in a patient's chart. But primary care clinicians may sometimes be afraid to ask about it because they are unsure how to handle what they might learn.
https://immattersacp.org/archives/2013/02/eating.htm
1 Feb 2013

Regents hear two sides of applying medical home concept

The Board of Regents recently brought in two experts to talk about how the patient-centered medical home actually works in practice in a first-ever Regents meeting debate.
https://immattersacp.org/archives/2009/10/regents.htm
1 Oct 2009

MKSAP Quiz: Follow-up on ED visit

A 31-year-old man is evaluated for follow-up 2 days after an emergency department visit for palpitations. He reports intermittent palpitations and occasional episodes of shortness of breath. What is the most appropriate next step in management?
https://immattersacp.org/archives/2017/06/mksap.htm
1 Jun 2017

IMGs get acculturation advice from a veteran

In an already overwhelming time period of residency, international medical graduates face extra burdens: confusing slang from patients, questioning authority when needed, and interacting with more knowledgeable subordinates. Cultural barriers have to be crossed to adapt to life in a U.S. residency.
https://immattersacp.org/archives/2010/06/IMG.htm
1 Jun 2010

Metacognition and its impact on physician self-diagnosis

A physician tried to self-diagnose his symptoms of a feeling of suffocation and a change in gait. Experts review the cognitive biases that made the doctor overlook the right diagnosis.
https://immattersacp.org/archives/2012/10/gray.htm
1 Oct 2012

Studies examine effectiveness of financial incentives in primary care

Two randomized trials suggest that certain financial incentives may be associated with some clinical improvements in primary care, although both the study authors and editorialists said that additional research is needed.
https://immattersacp.org/weekly/archives/2013/09/17/1.htm
17 Sep 2013

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