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Tread lightly: Discussing obesity difficult for internists

Internists are increasingly viewed as the first in line to tell patients that they are obese.
https://immattersacp.org/archives/2011/07/obesity.htm
1 Jul 2011

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

Guidelines on chest pain therapy; antidepressants ranked

Joint criteria offer a practical tool to help physicians choose between therapy and intervention for chest pain, and other news.
https://immattersacp.org/archives/2009/03/news.htm
1 Mar 2009

MKSAP Quiz: Pleuritic chest pain

A 34-year-old woman is evaluated for sharp intermittent pleuritic chest pain that has persisted for 1 week. The pain is worse when she lies down in the supine position. She has had no fever, chills, cough, or weight loss. She had acute viral pericarditis 6 months ago that was treated initially with ibuprofen, but when she failed to respond after 3 days, a 10-day tapering dosage of prednisone was instituted, leading to resolution of clinical symptoms.
https://immattersacp.org/archives/2012/04/mksap.htm
1 Apr 2012

Multidomain intervention may be associated with improved cognitive function in at-risk elderly patients

A program of diet, exercise, cognitive training, and vascular risk monitoring was associated with improvements in cognitive function, a recent study of at-risk elderly patients found.
https://immattersacp.org/weekly/archives/2015/03/17/2.htm
17 Mar 2015

Obese, nondiabetic patients lost weight with liraglutide injections

A manufacturer-funded double-blind trial examined 3,731 patients randomly assigned in a 2:1 ratio to receive 3.0 mg of liraglutide per day or placebo.
https://immattersacp.org/weekly/archives/2015/07/07/1.htm
7 Jul 2015

Liver injuries found in patients on orlistat

Suggest a colleague as a Top Hospitalist
https://immattersacp.org/weekly/archives/2010/06/08/8.htm
8 Jun 2010

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

Early interventions overlooked in OA

Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
https://immattersacp.org/archives/2013/05/osteoarthritis.htm
1 May 2013

Consider GERD in patients with pulmonary diseases

Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014

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