ACP's lobbying agenda includes working on a bipartisan basis to shore up health insurance markets, give people more choices of coverage, and protect coverage for the most vulnerable covered by Medicaid.
ACP Internist Weekly
- Colorectal cancer
Interval cancer after screening colonoscopy more common in black patients than in white patients
Federation of State Medical Boards updates guidelines for chronic use of opioids
This column reviews details on recent recalls, warnings, and approvals.
A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
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