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Sort by: Relevance | Newest | OldestPrevent, 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
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
MKSAP 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
Increasing rates of chronic pain found among those who die by suicide
Among suicide decedents included in the study, 8.8% had evidence of chronic pain, and the percentage increased from 7.4% in 2003 to 10.2% in 2014.
https://immattersacp.org/weekly/archives/2018/09/11/1.htm
11 Sep 2018
Broad efforts needed to reduce alcohol-related traffic deaths
Internists can intervene in alcohol-related traffic deaths by counseling patients against riding with impaired drivers, promoting local sobriety checkpoints, and supporting mass-media campaigns against alcohol-impaired driving, among other measures.
https://immattersacp.org/archives/2018/05/broad-efforts-needed-to-reduce-alcohol-related-traffic-deaths.htm
1 May 2018
LABAs, LAMAs for COPD may be associated with increased CVD risk in first 30 days of use
Study authors caution physicians to closely monitor new users of long-acting beta2-agonists (LABAs) or long-acting antimuscarinic antagonists (LAMAs) for cardiovascular symptoms.
https://immattersacp.org/weekly/archives/2018/01/09/4.htm
9 Jan 2018
Helping patients handle information overload
Finding out why a patient is concerned about health care news can be an opening for a larger discussion about health goals.
https://immattersacp.org/archives/2018/01/helping-patients-handle-information-overload.htm
1 Jan 2018
Primary care takes on opioid addiction
There's a lot that primary care clinicians can do to treat opioid addiction, but stigma about the condition, as well as laws and other regulations, throw up barriers.
https://immattersacp.org/archives/2017/10/primary-care-takes-on-opioid-addiction.htm
1 Oct 2017
10% of those who use opioids account for the vast majority of use
A recent study examined a commercial database of pharmacy claims for more than 20 million privately insured adults without cancer who were continuously enrolled for at least one calendar year between 2001 and 2013 and filled at least one prescription for an opioid.
https://immattersacp.org/weekly/archives/2017/09/12/4.htm
12 Sep 2017