Direct oral anticoagulants have the potential to replace warfarin for the treatment of many patients with venous thromboembolism, but without a need for routine monitoring, good patient selection is key to their use.
ACP Internist Weekly
- HIV infection
HIV incidence decreases overall, increases among Hispanic/Latino men who have sex with men
- Prostate cancer
Digital rectal exam may be ineffective for prostate cancer screening, meta-analysis indicates
Social media takes time, a scarce and precious resource for physicians. But just a few hours a month can be enough to empower physicians in myriad ways.
Some experts say the Physician Payments Sunshine Act has accomplished disclosure of gifts to physicians, but others say that the impact has fallen short of the hoped-for diminishment of inappropriate industry-physician relationships.
Internists can practice some orthopedics in their offices, such as managing common orthopedic conditions affecting the knees, shoulders, hips, feet, ankles, hands, wrists, elbows, and spine.
ACP's advocacy goals address improving payments to internists' services, reducing administrative tasks imposed on them, blocking insurance mergers, streamlining Medicare's Quality Payment Program, and much more.
A 50-year-old man is evaluated in the hospital for fatigue, joint pain, and skin lesions. His symptoms started 2 weeks ago with fever and sore throat, which subsided in 2 days. Fatigue and joint pain were noted 1 day after the onset of sore throat, which worsened over the subsequent days. Four days after the onset of symptoms, he noted dark red spots on his ankles and shins, which spread to involve his legs, thighs, and buttocks; the skin lesions were not painful or itchy. Following a physical exam and lab studies, what is the most likely diagnosis?
This issue covers prevention of falls in the elderly, debate over hypertension guidelines, and social media marketing for physician practices.
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