American College of Physicians: Internal Medicine — Doctors for Adults ®

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ACP Internist® Weekly

Welcome to this week's issue of ACP Internist Weekly, an update for internists published every Tuesday by the American College of Physicians.



In the News for the Week of October 28, 2014




Highlights

Expenditures may be higher in hospital-owned versus physician-owned organizations

Organizations owned by hospitals or multihospital systems had higher expenditures over a 3-year period than organizations owned by physicians, according to a new study. More...

Benefits of thyroid screening unclear, Task Force says

Researchers for the U.S. Preventive Services Task Force (USPSTF) suggested in a review that more research is needed to determine the benefits of screening asymptomatic individuals for thyroid dysfunction. More...


Test yourself

MKSAP Quiz: preoperative evaluation for knee replacement

A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management? More...


Infectious disease

Quinolones for tuberculosis did not show noninferiority in 3 early-phase trials in Africa

Early-stage studies attempting to shorten tuberculosis treatment regimens in African countries from 6 months to 4 months by including a fluoroquinolone failed to show noninferiority, according to 3 published reports and an editorial that appeared in the New England Journal of Medicine on Oct. 23. More...


Women's health

Chest radiation in girls with Wilms tumor may increase breast cancer risk in adulthood

Girls who receive chest radiation for pulmonary metastases from Wilms tumor, a childhood kidney cancer, may be at higher risk for breast cancer later in life, a new study reports. More...


Certification

ACP update about ABIM's MOC program and introduction of the ACP MOC Navigator

ACP CEO Steven Weinberger, MD, FACP, sent an e-mail to members on Oct. 24 that detailed 2 important developments regarding the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. More...


From Annals of Internal Medicine

Annals calls for Personae photographs in celebration of ACP's centennial

In recognition of the American College of Physicians' 100th anniversary, Annals of Internal Medicine is seeking photographs of internal medicine physicians to feature on each issue of the journal during 2015, ACP's centennial year. More...


Internal Medicine Meeting 2015

Art competition open for entries

ACP is now accepting submissions for the 100th Year Anniversary Celebration Council of Resident/Fellow Members Art Competition: "The Past, Present, and Future of Medicine." Submissions are open to all members of the College from Student Members through Masters. More...


High-value care

Now available: ACP High Value Care module on managing conflicts of interest

The latest ACP High Value Care module, part of ACP's High Value Care curriculum, offers three 10-minute lectures covering basic topics and three "unfolding cases" for in-depth learning about direct-to-consumer drug advertising, industry sponsorship of clinical trials, and the art of communicating with patients about sample medication. More...


Cartoon caption contest

Vote for your favorite entry

ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner. More...


Physician editor: Philip Masters, MD, FACP



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Test yourself

A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?

Find the answer

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