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

 
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Archive - April 2015


Opioids

Seeking clarity for opioid prescribing

Seeking clarity for opioid prescribing

By Charlotte Huff

Doctors continue to be frustrated by their patients' chronic pain problems, due to a lack of evidence on opioids' long-term effectiveness and strong evidence of potential harms.

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Malnutrition

Unmask malnutrition with careful questions

Unmask malnutrition with careful questions

By Paula S. Katz

Increasing awareness of the harmful effects of under- and overnutrition can in turn increase nutritional assessments in primary care.

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Patient communication

Helping clinicians improve care for sexual, gender minorities

Helping clinicians improve care for sexual, gender minorities

By Rochelle Nataloni

The second edition of “The Fenway Guide to Lesbian, Gay, Bisexual and Transgender Health” goes several steps further than its first edition by educating physicians on how to account for a changing cultural landscape.

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Imaging

‘Incidentalomas' may prove challenging to manage

By Leah Lawrence

The medical field is still grappling with the benefits and consequences of ever more sophisticated imaging technologies and how they affect the issues of overtesting and overdiagnosis.

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President's Message

ACP's ‘Mission: Not Impossible’

By David A. Fleming, MD, MA, MACP

Changes to the Maintenance of Certification process advocated by College leadership are the beginning of meaningful reform of the process, not the end.

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Washington Perspective

A taxing season for Obamacare

By Robert B. Doherty

April's tax filings may create sticker shock among the electorate, testing whether the gains in health care access made by millions of people can be sustained.

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Letters to the Editor

Letters to the Editor

Readers respond to ACP Internist coverage of issues surrounding the time spent with patients, ICD-10 coding changes, and physician burnout.

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Editor's Note

More research needed on long-term opioids

By Jennifer Kearney-Strouse

This issue covers topics including opioid pain management, malnutrition, and ‘incidentalomas' during imaging.

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Practice Rx

Documenting ICD-10-CM: What's new?

Documenting ICD-10-CM: What's new?

By Brian Outland

More specific information required in clinical documentation will lead to more efficient claims processing under the ICD-10 requirements that take effect in October.

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Practice Tips

Making patient portals patient-friendly

By Margo Williams

Patient portals can create barriers to successful use but can also offer benefits to patients. Three simple steps can improve the patient experience.

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FDA Update

Approval for an oral anticoagulant, generic esomeprazole

Approval for an oral anticoagulant, generic esomeprazole

By Stacey Butterfield

This update covers the approval of an oral medication to reduce the risk of stroke and embolism in atrial fibrillation and the first generic version of esomeprazole.

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ACP's Centennial

1945-1954: ACP and other organizations find their niches

By Stacey Butterfield

ACP's fourth decade started with the restoration of pre-World War II programs that had been suspended, as well as struggles with more philosophical issues.

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Test Yourself

From the MKSAP case studies

From the MKSAP case studies

A 24-year-old man is admitted to the hospital with a 4-day history of fever, malaise, and arthralgia of the elbows, wrists, and knees. Two days ago, he developed progressive pain and swelling of the right knee. He also has a rash on his arm. Following a physical exam and blood cultures, what is the most appropriate diagnostic test to perform?

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