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MKSAP Quiz: Burning, itching on the mid-back

A 49-year-old woman is evaluated for recurrent burning and itching on her mid-back that have been present for 2 years. Physical examination discloses ill-defined hyperpigmented patches on the mid-back below the medial aspect of the scapulae, as shown. What is the most likely diagnosis?.
https://immattersacp.org/archives/2011/05/mksap.htm
1 May 2011

New algorithm helps weed out unneeded drugs in the elderly

Geriatrician Doron Garfinkel, MD, developed the Good Palliative-Geriatric Practice algorithm for discontinuing elderly patients' unneeded medications. In a study, he showed how it led to discontinuing 58% of the drugs taken by a group of community-dwelling elderly.
https://immattersacp.org/archives/2011/05/medications.htm
1 May 2011

MKSAP Quiz: Abdominal pain and loose stools in ulcerative colitis

A 32-year-old man is evaluated in the emergency department for a 5-day history of worsening crampy abdominal pain and eight to ten loose bowel movements a day. The patient has a 5-year history of ulcerative colitis treated with azathioprine and topical mesalamine, and recently had sinusitis that resolved with antibiotic therapy. What is the most appropriate next step in the management of this patient?
https://immattersacp.org/weekly/archives/2011/05/17/3.htm
17 May 2011

Well visits not just for kids anymore

Medicare now reimburses for annual physical exams, so prepare your office, your patients and yourself for the best way to accommodate this into your practice.
https://immattersacp.org/archives/2011/06/wellness.htm
1 Jun 2011

Former College president appointed to MedPAC

The U.S. Government Accountability Office recently announced that William J. Hall, MACP, will be one of two new members of the Medicare Payment Advisory Commission.
https://immattersacp.org/weekly/archives/2011/06/14/8.htm
14 Jun 2011

Vitamin D guidelines advise on dietary intake, screening for deficiency

New guidelines from the Endocrine Society offer recommendations on evaluation, treatment and prevention of vitamin D deficiency.
https://immattersacp.org/weekly/archives/2011/06/14/1.htm
14 Jun 2011

Promoting literacy to increase adherence

Roughly 80 million Americans navigate health care's complexities with limited health literacy skills. Learn easy steps that help patients understand what they need to do, without the need for formal literacy screening or for questions that might embarrass a patient.
https://immattersacp.org/archives/2011/07/literacy.htm
1 Jul 2011

Tread lightly: Discussing obesity difficult for internists

Internists are increasingly viewed as the first in line to tell patients that they are obese.
https://immattersacp.org/archives/2011/07/obesity.htm
1 Jul 2011

MKSAP Quiz: Stretch marks in a young man

This week's quiz asks readers to determine the cause of stretch marks in a 33-year-old man.
https://immattersacp.org/weekly/archives/2011/07/19/3.htm
19 Jul 2011

MKSAP Quiz: 3-month history of GI bloating and discomfort

This week's quiz asks readers to evaluate a 64-year-old man with a 3-month history of gastrointestinal bloating and mid-epigastric discomfort.
https://immattersacp.org/weekly/archives/2011/08/02/3.htm
2 Aug 2011

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