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 December 10, 2013
ACP policy paper calls for tighter management of prescription drugs
The American College of Physicians recommended 10 clinical and administrative changes that will make it harder for prescription drugs, such as those prescribed for pain, sleep disorders and weight loss, to be abused or diverted for sale on the street. More...
IDSA issues vaccination guideline for immunocompromised patients
Most people with compromised immune systems should receive the flu shot and other vaccinations, noted a new guideline released by the Infectious Diseases Society of America (IDSA). More...
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management? More...
ACP recommends conservative use of transfusions and erythropoiesis-stimulating agents in patients with heart disease
Red blood cell transfusions should be restricted to cases of severe anemia in patients with heart disease, the American College of Physicians recommended in a clinical practice guideline published in Annals of Internal Medicine. More...
Elevated heart rate at discharge may be associated with adverse outcomes, readmissions in heart failure patients
Heart failure patients with elevated heart rates at hospital discharge may be at higher risk for all-cause and cardiovascular mortality and for 30-day readmission for heart failure and cardiovascular disease, according to a new study. More...
New oral anticoagulants may slightly decrease all-cause mortality when compared to warfarin, meta-analysis suggests
In patients with atrial fibrillation, the advantages of all 4 new oral anticoagulants over warfarin seem to outweigh the risks, a new meta-analysis found. More...
Help your patients enroll in ACA health insurance marketplaces
ACP can help you provide your patients with information about how to enroll in your state's new health insurance marketplace. More...
Don't miss the latest videos from The Consult Guys
Physicians who enjoy a dose of laughter while earning their CME credits won't want to miss the latest videos from The Consult Guys, the popular monthly video series released by Annals of Internal Medicine. 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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A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
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