American College of Physicians: Internal Medicine — Doctors for Adults ®



Gluten not a bread-and-butter diagnosis

Gluten not a bread-and-butter diagnosis

By Charlotte Huff

Internists have to sort through the symptoms of gluten sensitivity to confirm a diagnosis. Excluding celiac disease and wheat allergy is essential, as is managing the patient’s expectations and lifestyle.



Latest Blog Posts

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Do we model good lifestyle choices for our students and residents?
Posted Sep 29 at 9:00 AM by Robert Centor, MD
The freedom to care
Posted Sep 26 at 11:00 AM by Rob Lamberts, MD
Good riddance to routine pelvic examinations
Posted Sep 26 at 9:00 AM by Michael Kirsch, MD

Featured Articles

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Preoperative management

Target preop visits for efficiency, best outcomes

Target preop visits for efficiency, best outcomes

By Terri D’Arrigo

Internists can guide preoperative anticoagulation, ensure that patients are in optimal condition for procedures, and—perhaps most importantly—judiciously choose which tests to perform and which ones aren’t needed.



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President’s Message

Employer exemptions can create gaps in preventive services

By David A. Fleming, MD, MA, FACP

The prospect of universal health insurance coverage was threatened when the Supreme Court carved out exemptions to employer-based health coverage, ACP’s president says in his column about the College’s support of the Affordable Care Act and preventive services without cost sharing.


Resident’s Corner

Transitioning from health care to a broader domain of services

By Joshua M. Liao, MD, ACP Resident/Fellow Member

Clinicians and the organizations in which they practice are moving beyond episode-based health care delivery and into the communities in which they exist, delivering services that would normally seem outside the scope of medical practice.


Practice Management

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Practice Rx

CMS proposes some revised requirements for chronic care

By Brian Outland

It is important for internists to understand and plan for how they could meet the proposed service requirements and take advantage of payment for non-face-to-face chronic care management.


Practice Tips

Administrators are key to running a private practice

By Margo Williams

Bring in an expert to manage shrinking reimbursement, changing regulations, and rising business costs.


Test Yourself

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From the MKSAP case studies

From the MKSAP case studies

A 58-year-old woman is evaluated for a 3-month history of fatigue and a nonpruritic rash on the chest and arms. The rash worsens with sun exposure. The patient reports no pleurisy, dryness of the eyes or mouth, arthritis, or Raynaud phenomenon. There is no evidence of synovitis. The appearance of the rash is shown. A physical exam and laboratory tests are normal. Antinuclear antibody test results are negative, and anti-Ro/SSA antibody test results are positive. What is the most likely diagnosis?


ACP Internist Weekly

From the September 30, 2014 edition

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