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 June 28, 2016




Opioids

Coprescription of naloxone for acute use in case of overdose may benefit primary care patients taking opioids for chronic pain

Receiving a naloxone prescription corresponded to a 47% reduction in opioid-related ED visits per month 6 months after getting the prescription. More...


Atrial fibrillation

ACC, AHA release updated performance, quality measures for afib

There are 24 total measures, including 6 performance measures (3 inpatient and 3 outpatient) and 18 quality measures (10 inpatient and 8 outpatient), all designed to assess care quality for inpatients and outpatients with atrial fibrillation and atrial flutter. More...


Test yourself

MKSAP Quiz: declining exercise capacity over the past year

A 62-year-old man is evaluated for declining exercise capacity over the past year. He was diagnosed with moderate COPD 3 years ago. His symptoms had previously been well controlled with tiotropium and as-needed albuterol. He has not had any hospitalizations. He is adherent to his medication regimen, and his inhaler technique is good. Following a physical exam and review of previously performed chest radiographs and pulmonary function testing, what is the most appropriate management? More...


Eating disorders

Strong evidence for CBT, medications in treating binge-eating disorder, review finds

Physicians in practice may not know what to make of this newly defined disorder, which may be challenging to detect because of the shame that is often involved, according to an editorial. More...


Guidelines and performance measurement

Register now for the Guidelines International Network Conference in Philadelphia

This year's theme is "Individualized Guidelines and Clinical Performance Measurement in an Era of Personalized Medicine." More...


From ACP Hospitalist

Who's tops at your hospital? Let us know!

Recommending a physician can be done online, and the deadline is July 28, 2016. More...


Cartoon caption contest

And the winner is …

ACP Internist Weekly has tallied the voting from its latest cartoon contest, where readers are invited to match wits against their peers to provide the most original and amusing caption. More...

Editorial note: ACP Internist Weekly will not publish next week due to the Independence Day holiday.


Physician editor: Philip Masters, MD, FACP



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Test yourself

A 62-year-old man is evaluated for declining exercise capacity over the past year. He was diagnosed with moderate COPD 3 years ago. His symptoms had previously been well controlled with tiotropium and as-needed albuterol. He has not had any hospitalizations. He is adherent to his medication regimen, and his inhaler technique is good. Following a physical exam and review of previously performed chest radiographs and pulmonary function testing, what is the most appropriate management?

Find the answer

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