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MKSAP Quiz: Hospitalization for dyspnea, night sweats, productive cough

A 72-year-old man is hospitalized for dyspnea, night sweats, and productive cough; symptoms began 8 months ago. He also reports a 9.1-kg (20 lb) weight loss over the past 12 months. Medical history is notable for COPD. Following a physical exam, lab tests, and a chest radiograph, what is the most likely causative organism?
https://immattersacp.org/archives/2023/01/mksap-quiz-hospitalization-for-dyspnea-night-sweats-productive-cough.htm
1 Jan 2023

Exercise a fitting path to improved health

Some physicians tout successes in getting patients moving more by suggesting incremental changes in their activity levels, and also by highlighting the more immediately visible payoffs.
https://immattersacp.org/archives/2021/04/exercise-a-fitting-path-to-improved-health.htm
1 Apr 2021

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

Gastric bypass benefits persist over long-term follow-up, study finds

The authors said their study shows long-term durability of weight loss after bariatric surgery with Roux-en-Y gastric bypass, as well as related improvements in type 2 diabetes, hypertension, and lipid levels.
https://immattersacp.org/weekly/archives/2017/09/26/1.htm
26 Sep 2017

MKSAP Quiz: evaluation for chest discomfort and cough

A 45-year-old man is evaluated for right-sided chest discomfort and cough of 2 weeks' duration. His chest discomfort is described as a vague, painful sensation on the right. The cough occasionally produces a small amount of sputum; he reports no hemoptysis or shortness of breath. He has felt feverish with mild fatigue but has had no weight loss. He is a smoker with a 20-pack-year history. Following a physical exam and chest radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/12/13/3.htm
13 Dec 2016

MKSAP Quiz: Routine follow-up for very severe COPD

A 75-year-old man is seen for routine follow-up for very severe COPD. He has constant dyspnea and air hunger and spends most of the day in a chair. He has had no change in baseline cough and sputum production. He has had multiple COPD exacerbations that required ICU admission and intubation. He has not benefited from pulmonary rehabilitation in the past. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/11/07/3.htm
7 Nov 2017

Sustained change a challenge for health

Health-linked incentives have become increasingly common, particularly by employers. But researchers are still trying to sort out what type and design of incentives are most effective and whether they hold significant potential to achieve both short- and long-term behavioral changes.
https://immattersacp.org/archives/2016/05/lifestyle.htm
1 May 2016

Longer lifespans emerge in Down syndrome

Transitioning a patient with Down syndrome from a pediatric practice to an adult physician can be challenging due to a lack of willing physicians, who may not feel that they know enough to provide care.
https://immattersacp.org/archives/2021/02/longer-lifespans-emerge-in-down-syndrome.htm
1 Feb 2021

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2022/01/latest-updates-on-acps-priorities-initiatives.htm
1 Jan 2022

ACS/ASCO issue guideline on caring for breast cancer survivors; study looks at association between screen-detected DCIS, invasive breast cancer

The 5 areas covered by the guideline are surveillance for breast cancer recurrence, screening for second primary cancer, assessment and management of physical and psychosocial long-term and late effects of breast cancer and treatment, health promotion, and care coordination and practice implications.
https://immattersacp.org/weekly/archives/2015/12/15/4.htm
15 Dec 2015

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