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

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ACP Internist® Weekly

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



In the News for the Week of September 16, 2014




Highlights

ACP releases clinical practice guideline on nonsurgical management of UI in women

Women with stress urinary incontinence (UI) should perform pelvic floor muscle training, commonly known as Kegel exercises, to help manage the condition, according to a new clinical practice guideline from the American College of Physicians. More...

Benzodiazepine use associated with increased risk of Alzheimer's disease

Patients who had taken benzodiazepines for at least 3 months had a 50% increased risk of Alzheimer's disease, a recent study of older patients found. More...


Test yourself

MKSAP Quiz: evaluation for a self-detected lump under the arm

A 69-year-old woman is evaluated for a lump under her arm found on self-examination. She is otherwise healthy and has no other symptoms. Medical and family histories are unremarkable, and she takes no medications. A needle aspirate of the right axillary mass reveals adenocarcinoma. Bilateral mammography and breast MRI are normal. CT scan of the chest, abdomen, and pelvis demonstrates the enlarged axillary lymph node and no other abnormalities. What is the most appropriate initial treatment? More...


Back pain

Spinal manipulation plus exercise and advice appears effective in the short term for chronic back-related leg pain

Patients with chronic back-related leg pain (BRLP) may benefit in the short term from spinal manipulation plus home exercise and advice, according to a new study. More...


Sickle cell disease

New guidelines cover preventive, chronic, acute care for sickle cell disease

New evidence-based guidelines on the management of sickle cell disease were released last week by a group of experts convened by the National Heart, Lung, and Blood Institute. More...


Cardiology

Anticoagulation for heart failure and afib associated with reductions in mortality, but maybe not readmissions

Starting anticoagulation for older patients with heart failure and atrial fibrillation at hospital discharge was associated with improved mortality at 1 and 3 years but was not associated with improved rates of all-cause cardiovascular readmission or stroke, a study found. More...


From the College

ACP and American Medical Women's Association announce affiliate membership agreement

ACP and the American Medical Women's Association (AMWA) have announced an affiliate membership agreement whereby ACP members can become AMWA Affiliate Members as part of their ACP membership at no additional charge. More...

Bottom up: How grassroots input shapes ACP policies

Yul Ejnes, MD, MACP, a past chair of ACP's Board of Regents, a practicing internist in Cranston, R.I., and a member of ACP Internist's editorial board, continues his monthly column at KevinMD.com in a post about ACP's policy-making procedures. More...


Cartoon caption contest

Put words in our mouth

ACP InternistWeekly 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 69-year-old woman is evaluated for a lump under her arm found on self-examination. She is otherwise healthy and has no other symptoms. Medical and family histories are unremarkable, and she takes no medications. A needle aspirate of the right axillary mass reveals adenocarcinoma. Bilateral mammography and breast MRI are normal. CT scan of the chest, abdomen, and pelvis demonstrates the enlarged axillary lymph node and no other abnormalities. What is the most appropriate initial treatment?

Find the answer

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