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

 
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Archive - February 2015


Women's Health

Incontinence can hide in middle age

Incontinence can hide in middle age

By Kathy Holliman

Women may suffer debilitating quality-of-life issues from urinary incontinence yet never mention it to their primary care physicians. The condition can be successfully managed by nonsurgical and nonpharmacological means, if physicians can tactfully bring up the subject first.

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Diabetes Management

SGLT2 inhibitors change glucose dynamic

By Stacey Butterfield

The kidney's role in glucose production is as a producer and consumer of it, as well as filtering and reabsorbing it. SGLT2 inhibitors change that dynamic, creating new mechanisms, benefits and risks, and uncertainties that internists should know about this new drug class.

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Q&A

Experts agree on principles of diabetes care

By Stacey Butterfield

Learn 10 guiding principles for the care of people with or at risk for diabetes.

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Guest President's Message

Excellent internal medicine takes time

By Robert Centor, MD, MACP

Internists often feel pressured to see patients in less time than patients need, creating dissatisfaction on both sides. The American College of Physicians is advocating for that time, to enhance the quality of each visit and allow for thoroughness and for reflection on the encounter.

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Washington Perspective

How will the new Congress affect ACP's priorities?

By Robert B. Doherty

ACP outlines its legislative agenda for the year, including resisting changes to the Affordable Care Act, preserving the Medicare primary care bonus program, and repealing the Medicare sustainable growth rate.

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Editor's Note

Urinary incontinence is overlooked but treatable

By Jennifer Kearney-Strouse

This issue covers topics including urinary incontinence, the new drug class of SGLT2 inhibitors for diabetes, and more on the principles of diabetes care.

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Practice Rx

ICD-10 changes looming amid a modern medical landscape

ICD-10 changes looming amid a modern medical landscape

By Brian Outland

While some clinicians view the transition to ICD-10 as costly and burdensome, others feel that there are benefits for more accurately recording diagnoses. No matter which side of the issue, the conversion is likely to happen Oct. 1.

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Practice Tips

Getting patient consent for chronic care management

By Margo Williams

Medicare now reimburses internists for chronic care management services, but a few criteria need to be met. Learn more about how to recoup payment for services that many physicians are already providing.

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FDA Update

Warnings on long-term dual antiplatelet therapy, more

Warnings on long-term dual antiplatelet therapy, more

By Stacey Butterfield

This update covers the recall of rapid gram-negative combo panels, approval of an extended-release opioid analgesic, and a new rule about labeling prescription drugs related to pregnancy and lactation.

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ACP's Centennial

ACP history: Moving to Philly, dealing with the Depression

By Stacey Butterfield

ACP's second decade saw upheaval, multiple moves, and a reluctant president accepting the office. Then, the Great Depression struck.

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Obituaries

Obituaries

Obituaries for C. Burns Roehrig, MD, MACP, and Charles Turner, MD, MACP, are noted.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 25-year-old woman is evaluated for a 1-week history of malodorous vaginal discharge associated with vulvar itching and burning. She is sexually active and has had three partners in the past 6 months. She has no history of sexually transmitted diseases. Following a physical exam and a saline microscopy, what is the most appropriate treatment?

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