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Sort by: Relevance | Newest | OldestMKSAP Quiz: Progressive dysphagia for 8 months
A 75-year-old man is evaluated for progressive dysphagia of 8 months' duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms and has lost weight. After physical exam, upper endoscopy, and manometry, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/09/25/3.htm
25 Sep 2018
A shifting focus on the role of patients' nonmedical needs
Two ACP position papers offer guidance on the role primary care physicians can play in addressing traditionally nonmedical issues, often known as the social determinants of health, and how they encourage the development of patient-centered care.
https://immattersacp.org/archives/2019/04/a-shifting-focus-on-the-role-of-patients-nonmedical-needs.htm
1 Apr 2019
Prevent, recognize impairment
Professional duties require physicians to recognize and address physician illness and impairment, but it is often difficult to recognize a colleague's condition and find an appropriate way of reporting and resolving it.
https://immattersacp.org/archives/2019/09/prevent-recognize-impairment.htm
1 Sep 2019
MKSAP Quiz: Evaluation for increasing fatigue
An 81-year-old man is evaluated for increasing fatigue. He has no other symptoms to report. Medical history is significant for diabetes mellitus and hypertension. He does not drink alcohol or smoke. Following a physical exam and lab studies, what is the most appropriate diagnostic test to perform next to evaluate this patient's anemia?
https://immattersacp.org/archives/2019/09/mksap-quiz-evaluation-for-increasing-fatigue.htm
1 Sep 2019
Take time to discuss women's sexual health
A women's sexual health equates to her overall health, and internists should ask about it and refer for it when needed.
https://immattersacp.org/archives/2019/10/take-time-to-discuss-womens-sexual-health.htm
1 Oct 2019
Alcohol abstinence may reduce secondary atrial fibrillation, randomized trial finds
An editorial noted the potential difficulty of convincing patients who drink regularly to abstain from alcohol long enough to make a difference.
https://immattersacp.org/weekly/archives/2020/01/07/2.htm
7 Jan 2020
Wrestling with wearables that screen for afib
Experts remain uncertain how to judge wearables and smartphone apps' cost-effectiveness, data quality, and clinical implications among pre-symptomatic patients diagnosed with atrial fibrillation.
https://immattersacp.org/archives/2020/02/wrestling-with-wearables-that-screen-for-afib.htm
1 Feb 2020
Effects of pandemic on alcohol use, mental health, primary care, and hospitalizations
Recent studies found that the pandemic was associated with increases in alcohol use and internet searches for mental health issues. The rise of telemedicine meant fewer blood pressure and cholesterol evaluations, and hospitalizations for several non-COVID-19 conditions stayed below normal.
https://immattersacp.org/weekly/archives/2020/10/06/1.htm
6 Oct 2020
Detecting unhealthy drug use
The COVID-19 pandemic and its ensuing isolation and stress have been associated with a sharp increase in substance use as a coping mechanism, as well as drug overdose deaths.
https://immattersacp.org/archives/2021/03/detecting-unhealthy-drug-use.htm
1 Mar 2021
Latest COVID-19 research details local vaccine reactions, ineffective outpatient treatments
A case series described delayed skin reactions to vaccination, and randomized trials indicated that ivermectin, azithromycin, and convalescent plasma didn't help mildly ill patients. Several studies focused on the increase in alcohol use during the pandemic.
https://immattersacp.org/weekly/archives/2021/03/09/1.htm
9 Mar 2021