Risk for stroke or systemic embolism was lower with apixaban (5 mg twice daily), dabigatran (150 mg twice daily), edoxaban (60 mg twice daily), and rivaroxaban (20 mg twice daily) than warfarin, a study found.
Evidence showed no benefit from adding an oral antihistamine to an intranasal corticosteroid, and oral antihistamines may cause sedation and other adverse effects, guideline authors wrote.
A 50-year-old man is evaluated for a firm, darkly pigmented papule on his back that has been growing steadily over a period of several months. The skin lesion is a 0.5-cm darkly pigmented, raised plaque with irregular borders and inconsistent coloration. A skin biopsy is performed and shows malignant melanoma on pathologic examination. What is the primary feature used to determine prognosis?
Submissions wanted for ACP Innovation Challenge 2018: Re-Imagining the Practice of Internal Medicine
The grand prize winner of ACP's “Shark Tank”-style competition will be awarded $20,000 to support implementation/study of an idea on how to transform the practice of internal medicine on a national level.
Denial of some patient requests, but not others, associated with decreased patient satisfaction, study finds
Denial of requests was associated with worse patient satisfaction for referrals, pain medications, other new medications, and lab tests, but not for antibiotics, radiology tests, or other tests.
The latest recommended immunization schedule for adults was reviewed and approved in part by ACP and is available online from Annals of Internal Medicine, as are other resources to help increase immunization rates.