In the News

New guideline released on lung cancer screening

Among the recommendations is one stating that low-dose CT screening should not be performed in individuals who have accumulated fewer than 30 pack-years of smoking or who are younger than age 55 years or older than age 77 years, or who have quit smoking more than 15 years ago, and do not have a high risk of having/developing lung cancer based on clinical risk prediction calculators.

ACP urges physicians to strongly recommend and offer flu shots to pregnant women following CDC report

As of early November 2017, almost two-thirds of pregnant women had not been vaccinated against the flu, according to the CDC.

MKSAP quiz: Intermittent fever, sweats, fatigue

A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks' duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis were negative. Following a physical exam, lab studies, and chest radiograph, what is the most likely cause of her clinical findings?

Apnea outcomes may be similar when treated by sleep specialist or nonspecialist

Low-strength evidence indicated that outcomes were similar whether care was provided by primary care physicians, sleep specialist nurses, or sleep specialist physicians, although study authors noted that non–sleep specialists were often highly experienced in sleep medicine.

Training in breathing exercises before upper abdominal surgery significantly reduced postoperative pulmonary complications and pneumonia

Study authors noted that the intervention has minimal potential to harm and can be provided within existing hospital clinics that patients must attend before surgery.

Call for fall 2018 Board of Governors resolutions

Consider submitting a resolution to your ACP Governor or chapter council to focus attention at the ACP national level on a particular issue or topic that concerns members.

Vote for your favorite entry

ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.