Current Issue


New guidance issued on breast cancer screening, hormone therapy

Among other recommendations, screening mammography should be offered to women at average risk of breast cancer starting at age 40 years, and a shared decision-making process should be used to decide about the age to begin mammography screening.

Whole-genome sequencing finds rare genetic disease risk in 1 of 5 healthy adults

While some primary care physicians may be able to manage genomic information appropriately, findings could prompt increased health care use with limited clinical value, the researchers said.

MKSAP Quiz: 1-year history of fatigue, headaches, sore throat

A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. HIV testing and risk factors are negative. On physical examination, the patient appears anxious. Vital signs and the remainder of the physical examination are normal. The patient's evaluation for sleep disorders is normal. A screening test for depression is negative. What is the most appropriate diagnostic test to perform next?

FIT may be useful for screening above-average-risk populations for colorectal cancer

A meta-analysis of 12 studies found that fecal immunochemical testing (FIT) may be a viable alternative screening strategy for patients at increased risk for colorectal cancer, but the authors and an accompanying editorial noted that the quality of the evidence was low.

Internet-based program may help low-income women lose weight gained during pregnancy, study finds

The intervention included a website with weekly lessons, a web diary, instructional videos, computerized feedback, text messages, and monthly in-person meetings at the clinics.

Averting a zombie prescription apocalypse

Yul Ejnes, MD, MACP, continues his monthly column at KevinMD about how to deal with prescriptions for discontinued drugs or old medication doses.

Vote for your favorite entry

ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.