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MKSAP Quiz: 6-week history of blisters

A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease. The patient does not use tobacco but drinks 6 beers daily. He takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/09/mksap-quiz-6-week-history-of-blisters.htm
1 Sep 2017

Assessment may offer another option for substance abuse screening

A screening tool has high sensitivity and specificity for identifying use of illicit drugs and prescription medications, which might be useful to address an opioid epidemic and high rates of overdose deaths across the U.S.
https://immattersacp.org/weekly/archives/2017/06/06/2.htm
6 Jun 2017

High-value management of patients with GI symptoms

Gastroesophageal reflux disease, rectal bleeding, and chronic diarrhea can be controlled better by applying high-value care.
https://immattersacp.org/archives/2017/06/gastro.htm
1 Jun 2017

Genes, environment hold the keys to healthy aging

Living into one's centenarian years involves a little bit of genetic luck, and a lot of healthy lifestyle choices.
https://immattersacp.org/archives/2017/05/agingQA.htm
1 May 2017

Only 1 in 3 adults reported being asked about binge drinking during checkups

Failure to properly screen patients for alcohol misuse will lead to missed treatment opportunities for a brief intervention, treatment (which might include pharmacotherapy), or a referral to treatment for alcohol dependence.
https://immattersacp.org/weekly/archives/2017/04/11/2.htm
11 Apr 2017

Safe prescribing can lessen overdose risk

In what one commentator called an “appalling” finding, 90% of patients in a recent study admitted to a hospital with a prescription opioid overdose eventually received another opioid prescription##mdash;often from the same clinician. Efforts to improve safe prescribing hope to fix the problem.
https://immattersacp.org/archives/2016/10/overdose.htm
1 Oct 2016

NAFLD treatment starts with weight loss, then other modes

Nonalcoholic fatty liver disease (NAFLD), which accounts for 30% to 40% of chronic liver disease in the U.S. today, is the hepatic manifestation of the metabolic syndrome and is associated with sleep apnea, cardiovascular disease, and diabetes.
https://immattersacp.org/archives/2016/07/NAFLD.htm
1 Jul 2016

A neighborhood approach to better health

Doctors treating patients who live in lower-income urban areas may need more in-depth understanding of how environment might shape their patients' health, and may even need to venture outside the office to better understand their patients' life circumstances.
https://immattersacp.org/archives/2016/01/urban-health.htm
1 Jan 2016

Internists can help with alcohol misuse

New legislation in the Affordable Care Act (ACA) mandates that insurance plans cover alcohol treatment as an essential health care benefit, prompting internists to integrate care for alcohol use disorders into their practices.
https://immattersacp.org/archives/2015/10/alcohol.htm
1 Oct 2015

Alcohol treatment may be shifting to primary care

This issue covers topics such as the uptick of alcohol misuse treatment in primary care, the mind-body connection between mental health and heart disease, and ways in which patients can educate each other more effectively about lifestyle maintenance.
https://immattersacp.org/archives/2015/10/editors.htm
1 Oct 2015

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