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New research, drugs may change care of common conditions

Developments in fields such as diabetic nephropathy and weight loss share a common theme: There is no magic bullet. The solution is to offer care tailored to the patient.
https://immattersacp.org/archives/2012/11/editors.htm
1 Nov 2012

MKSAP Quiz: follow-up for elevated liver chemistry tests

A 42-year-old man is evaluated in follow-up for elevated liver chemistry tests. Abdominal ultrasound reveals increased hepatic echotexture consistent with hepatic steatosis. Hepatic configuration is otherwise normal. In addition to weight loss, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2012/11/06/3.htm
6 Nov 2012

The next issue of ACP Internist is online and coming to your mailbox

The November issue of ACP Internist features stories about individualized treatment goals for diabetics, how to discuss dieting and weight management, and ways to diagnose skin and soft tissue infections.
https://immattersacp.org/weekly/archives/2012/11/06/8.htm
6 Nov 2012

Upper endoscopy may be overused in patients with reflux, guidelines committee says

Routine use of upper endoscopy for most patients with gastroesophageal reflux disease (GERD) does not improve patient health, is associated with preventable harms, and may lead to unnecessary interventions and costs, according to an ACP clinical policy paper.
https://immattersacp.org/weekly/archives/2012/12/04/1.htm
4 Dec 2012

Searching for signs of eating disorders

Internists are often the first clinicians to see signs of an eating disorder, with the rapid or extreme changes in weight apparent both in person and from the history recorded in a patient's chart. But primary care clinicians may sometimes be afraid to ask about it because they are unsure how to handle what they might learn.
https://immattersacp.org/archives/2013/02/eating.htm
1 Feb 2013

MKSAP Quiz: 2-year history of chest pain

A 35-year-old man is evaluated for a 2-year history of intermittent chest pain that is retrosternal, lasts for seconds to minutes, is unrelated to exertion, and does not radiate. It is occasionally associated with swallowing. Upper endoscopy is normal and a barium swallow is shown. What is the most likely diagnosis?.
https://immattersacp.org/archives/2013/02/mksap.htm
1 Feb 2013

Don't give up on patient self-management

Time-pressed physicians are adopting a team approach as they grapple with how to help their patients improve their health. Referred to as “patient self-management,” the sometimes time-consuming process can be handled directly or through trained coaches.
https://immattersacp.org/archives/2013/02/self-management.htm
1 Feb 2013

Work-life balance easily upset, tough to restore

Doctors sometimes struggle with their own poor health choices, as busy days in the office are carried home. Burnout, depression and stress can lead to smoking, drinking and weight gain. Find a balance that works.
https://immattersacp.org/archives/2013/04/work-life.htm
1 Apr 2013

Patients with diabetes facing vision loss at ever-earlier ages

Just as diabetes is affecting younger populations, so are its consequences. Childhood obesity can translate into diabetic retinopathy in patients in their 20s, which requires a response from the primary care community.
https://immattersacp.org/archives/2013/04/diabetes.htm
1 Apr 2013

PERSPECTIVES 4 ACPINTERNIST Osteoarthritis affects millions of Americans, but ...

That way, experts say, interventions such as exerciseand weight loss are more likely to be successful.
https://immattersacp.org/archives/2013/05/acpi-201305-puzzle_t1.pdf
24 Apr 2013

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