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 November 18, 2014




Highlights

More bleeds and clots in afib patients who took NSAIDs

Patients with atrial fibrillation who were prescribed NSAIDs had more serious bleeding and thromboembolic events than those not on NSAIDs, a new Danish study found. More...

Communication scores vary significantly within practices, especially low-performing ones

Patients' scoring of physician communication varied much more by physician than by practice, raising concerns about assessment of performance on a practice level, according to a new study. More...


Test yourself

MKSAP Quiz: mass in the right neck

A 38-year-old man is evaluated for a mass in his right neck that he first noticed 2 weeks ago while shaving. The patient also reports experiencing a pressure sensation when swallowing solid foods for the past year and daily diarrhea for the past 2 months. His personal medical history is unremarkable. His younger brother has nephrolithiasis, and his father died of a hypertensive crisis and cardiac arrest at age 62 years while undergoing anesthesia induction to repair a hip fracture. Following a physical exam, lab studies, and a chest radiograph, what is the most likely diagnosis? More...


Weight loss

Smartphone app does not appear to help with weight loss, study finds

A free smartphone app for weight loss did not appear to be effective in primary care, according to a new study. More...


Heart failure

Beta-blockers in heart failure patients with preserved ejection fraction may lower all-cause mortality

Use of beta-blockers in patients with heart failure with preserved ejection fraction (HFPEF) was associated with lower all-cause mortality but not with consistent reductions in the combined outcome of mortality and heart failure hospitalization, an observational cohort study found. More...


Cartoon caption contest

Put words in our mouth

ACP Internist Weekly wants readers to create captions for our new cartoon and help choose the winner. Pen the winning caption and win a $50 gift certificate good toward any ACP product, program or service. More...


Physician editor: Daisy Smith, MD, FACP



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Test yourself

A 38-year-old man is evaluated for a mass in his right neck that he first noticed 2 weeks ago while shaving. The patient also reports experiencing a pressure sensation when swallowing solid foods for the past year and daily diarrhea for the past 2 months. His personal medical history is unremarkable. His younger brother has nephrolithiasis, and his father died of a hypertensive crisis and cardiac arrest at age 62 years while undergoing anesthesia induction to repair a hip fracture. Following a physical exam, lab studies, and a chest radiograph, what is the most likely diagnosis?

Find the answer

MKSAP 16 Holiday Special: Save 10%

MKSAP 16 Holiday Special:  Save 10%

Use MKSAP 16 to earn MOC points, prepare for ABIM exams and assess your clinical knowledge. For a limited time save 10% when you use priority code MKPROMO! Order now.

Maintenance of Certification:

What if I Still Don't Know Where to Start?

Maintenance of Certification: What if I Still Don't Know Where to Start?

Because the rules are complex and may apply differently depending on when you last certified, ACP has developed a MOC Navigator. This FREE tool can help you understand the impact of MOC, review requirements, guide you in selecting ways to meet the requirements, show you how to enroll, and more. Start navigating now.