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MKSAP Quiz: Diarrhea for 2 days

A 25-year-old woman emails her internist from Mexico with a report of diarrhea for 2 days. She is traveling and reports three to four loose bowel movements per day. She has been dining in the hotel restaurants but has also consumed foods and bottled soft drinks served with ice from local food vendors. She was given levofloxacin and loperamide to take with her on her trip. In addition to encouraging oral hydration, what is the most appropriate treatment recommendation for this patient?
https://immattersacp.org/weekly/archives/2016/08/30/3.htm
30 Aug 2016

Thriving at the annual meeting in your early-career years

I.M. Ready is a new regular feature that will explore topics relevant to early-career internal medicine physicians, particularly those within five years of residency graduation.
https://immattersacp.org/archives/2023/04/thriving-at-the-annual-meeting-in-your-early-career-years.htm
1 Apr 2023

Preventive care still on during COVID-19

COVID-19 may foster innovation in primary care as physicians describe various strategies to reconnect with patients, such as leveraging telemedicine visits to also explain the practice's coronavirus-related safety protocols, or systematically reviewing their panels to flag at-risk patients.
https://immattersacp.org/archives/2020/11/preventive-care-still-on-during-covid-19.htm
1 Nov 2020

Best practice advice says generics can improve adherence, save money

Clinicians should prescribe generic medications instead of more expensive brand-name medications when possible, an ACP committee decided.
https://immattersacp.org/weekly/archives/2015/11/24/2.htm
24 Nov 2015

New thinking about Alzheimer's diagnosis

New technology and biomarkers have contributed to the detection of Alzheimer's disease, but clinicians are skeptical about the value of a diagnosis without the ability to treat the condition.
https://immattersacp.org/archives/2019/11/new-thinking-about-alzheimers-diagnosis.htm
1 Nov 2019

Long-term medications often discontinued during hospitalization

Patients taking medication for chronic diseases risk those prescriptions being discontinued when they are hospitalized, especially if they are admitted to an intensive care unit, a new study found.
https://immattersacp.org/weekly/archives/2011/08/30/6.htm
30 Aug 2011

Managing medication adherence

That most nonadherent patients are willfully rejecting doctors' orders might seem shocking. But physicians have to accept it in order to encourage patients to accept their advice. Digital health tools may offer potential aids in solving matters of adherence.
https://immattersacp.org/archives/2017/03/adherence.htm
1 Mar 2017

Combination treatment for COPD associated with lower rate of exacerbations versus usual care

Patients taking fluticasone furoate-vilanterol had a rate of 1.74 moderate or severe exacerbations per year versus 1.90 per year in the usual care group, an industry-funded trial has shown.
https://immattersacp.org/weekly/archives/2016/09/13/1.htm
13 Sep 2016

Managing patients' medications effectively

As the number of patients with chronic diseases grows, medication optimization is as important as ever to improve outcomes, decrease costs, and improve quality of life.
https://immattersacp.org/archives/2021/01/managing-patients-medications-effectively.htm
1 Jan 2021

Nurse-managed protocols associated with modest improvement in control of chronic conditions, analysis finds

Medication titration by nurses according to protocols was associated with a modest improvement in control of chronic diseases in outpatient practice, a recent review and meta-analysis found.
https://immattersacp.org/weekly/archives/2014/07/15/1.htm
15 Jul 2014

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