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Warning about clozapine and constipation

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2020/04/warning-about-clozapine-and-constipation.htm
1 Apr 2020

MKSAP Quiz: 10-day history of abdominal cramping, diarrhea

A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He recently returned from a trip to Lima, Peru. Following a physical exam and stool assay, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/02/25/3.htm
25 Feb 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

MKSAP Quiz: 6-month history of loose stools, bloating, weight loss

A 32-year-old woman is evaluated for a 6-month history of loose stools, bloating, and weight loss. Her brother has type 1 diabetes mellitus, and her mother has autoimmune thyroid disease. After physical examination and laboratory studies, what test should be performed next?
https://immattersacp.org/weekly/archives/2020/01/28/3.htm
28 Jan 2020

MKSAP Quiz: 2 weeks of painful lumps on legs

A 23-year-old woman is evaluated for 2 weeks of painful lumps on her legs. The lumps persist for several days and make it difficult for her to go to work as a waitress. She is a college student in Ohio where she has lived her whole life. She has not traveled outside of the state for the last 2 years. Following a physical exam and change in contraception, what test should be done next?
https://immattersacp.org/weekly/archives/2020/01/07/3.htm
7 Jan 2020

Managing patients with diabetes and heart failure

Good control of diabetes in the presence of heart failure includes appropriate HbA1c targets, metformin and comprehensive lifestyle change as first-line therapy, and a team approach.
https://immattersacp.org/archives/2019/11/managing-patients-with-diabetes-and-heart-failure.htm
1 Nov 2019

MKSAP Quiz: 2-week history of difficulty swallowing

A 67-year-old man is evaluated in the emergency department with a 3-day history of weakness and nausea and a 2-week history of difficulty swallowing. He has lost 22.7 kg (50 lb) during the past year. He has no other symptoms. History is significant for a 30-pack-year history of smoking. Following a physical exam, lab studies, and chest CT, what is the most likely diagnosis?
https://immattersacp.org/archives/2019/11/mksap-quiz-2-week-history-of-difficulty-swallowing.htm
1 Nov 2019

Pulmonary illnesses linked to e-cigarette products

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/11/pulmonary-illnesses-linked-to-e-cigarette-products.htm
1 Nov 2019

CDC issues interim guidance on evaluation, treatment of suspected vaping injuries

The evaluation of patients with suspected e-cigarette, or vaping, product use-associated lung injury (EVALI) should include pulse oximetry, chest X-ray, and, in some cases, chest CT, the CDC advised.
https://immattersacp.org/weekly/archives/2019/10/22/2.htm
22 Oct 2019

From internist to whistleblower on detention facilities

An FACP alerted the Senate to conditions at migrant detention centers.
https://immattersacp.org/archives/2019/10/from-internist-to-whistleblower-on-detention-facilities.htm
1 Oct 2019

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