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MKSAP Quiz: 1-year history of progressive fatigue, dyspnea, edema

A 62-year-old man is evaluated for a 1-year history of progressive fatigue, dyspnea on exertion, and lower-extremity edema. He has been hospitalized twice in the past year for heart failure. Following a physical exam and electrocardiogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/03/23/3.htm
23 Mar 2021

What Dobbs might mean for medicine

The Supreme Court's recent decision in Dobbs v. Jackson Women's Health Organization has far-reaching implications for both patients and physicians.
https://immattersacp.org/archives/2022/09/what-dobbs-might-mean-for-medicine.htm
1 Sep 2022

MKSAP Quiz: 5-day history of nonproductive cough, fever

A 59-year-old man is hospitalized with a 5-day history of nonproductive cough and fever. He recreationally breeds carrier pigeons. He reports no travel outside of the United States. Following a physical exam and chest radiograph, what is the most likely cause of this patient's symptoms?
https://immattersacp.org/weekly/archives/2021/11/02/3.htm
2 Nov 2021

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2022/03/latest-updates-on-acps-priorities-initiatives.htm
1 Mar 2022

A doctor seeks ways to encourage earlier palliative care talks

Palliative care doctors are working on introducing the concept of palliative care across disciplines, with a particular focus on primary care. The goal is to introduce it earlier in the process of patient care, and earlier in the educational process of the physicians themselves.
https://immattersacp.org/archives/2014/10/palliative.htm
1 Oct 2014

Clinical reasoning now a ‘foundational basic science’

An important and emerging need for medical students is developing the ability to apply knowledge and use it to determine the correct diagnoses for individual patients. Diagnostic reasoning has only recently begun to be specifically taught in medical school and residency.
https://immattersacp.org/archives/2015/11/qanda.htm
1 Nov 2015

Prepping IM residents for primary care

Although most patient visits and more than 60% of procedures now occur in the outpatient setting, most of the focus on residency training is on critically ill patients in the hospital.
https://immattersacp.org/archives/2017/05/education.htm
1 May 2017

Expert explains thyroid diagnosis, treatment and common red flags

The estimate that 25 million people have thyroid problems would double if the normal range was adjusted, as some medical societies suggest. In this Web-only feature, Victor Bernet, FACP, the author of MKSAP 15's chapter on disorders of the thyroid gland, offers his insights into management.
https://immattersacp.org/archives/2010/01/thyroid.htm
1 Jan 2010

‘Discontinued’ medications a problem when using EHRs

Physicians who wonder why a patient is still taking a discontinued medication might look to their EHRs for the answer. Unlike with new prescriptions, a doctor's orders to stop a drug usually aren't automatically transmitted to pharmacies. This widespread problem requires an old-fashioned solution: talking to patients to ensure they know what medications they are meant to be taking.
https://immattersacp.org/archives/2013/04/prescribing.htm
1 Apr 2013

FTC rule requires doctors to monitor identify theft red flags

New rules treat doctors' offices like banks and credit card companies, holding them responsible for identity theft the same way they're responsible for patient privacy.
https://immattersacp.org/archives/2009/05/billing.htm
1 May 2009

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